Provider Demographics
NPI:1982025425
Name:TITUS, BARBARA (LCSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:TITUS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 S MAIN ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:STOCKTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08559-2153
Mailing Address - Country:US
Mailing Address - Phone:908-910-8891
Mailing Address - Fax:
Practice Address - Street 1:56 S MAIN ST
Practice Address - Street 2:SUITE C
Practice Address - City:STOCKTON
Practice Address - State:NJ
Practice Address - Zip Code:08559-2153
Practice Address - Country:US
Practice Address - Phone:908-910-8891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-31
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052031001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical