Jane Susan Barrow, L.C.S.W.

Individual provider Active NPI Clinical Social Worker · Millburn, NJ

NPI 1164593364 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1164593364
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
44SC00013600 (NJ)
Practice address
126 Cypress St
Millburn, NJ 07041-2159
Phone
(973) 763-8650
Fax
(775) 254-2109
NPI assigned
Nov 11, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
013207NYMDPsychologist
44SC00013600NJMDClinical Social Worker
PR13207-1NYMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC00013600 NJ Yes
Clinical Social Worker 1041C0700X PR13207-1 NY

Addresses

Primary practice location

126 Cypress St
Millburn, NJ 07041-2159

Mailing address

126 Cypress St
Millburn, NJ 07041-2159
Phone (973) 763-8650

Other providers in Millburn, NJ

All providers in Millburn, NJ · Clinical Social Worker in New Jersey

Sources for this page

Verify at the official NPI Registry.