Karen Caiazzo, CSW
Individual provider Active NPI Counselor · Farmingdale, NJ
NPI 1336734110 · NPPES record last updated Mar 4, 2021
Key facts
- NPI
- 1336734110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 445SW00245800 (NJ)
- Practice address
- 13 Abby Rd
Farmingdale, NJ 07727-4008 - Phone
- (201) 681-6390
- NPI assigned
- Mar 4, 2021
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 445SW00245800 | NJ | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 445SW00245800 | NJ | Yes |
Addresses
Primary practice location
13 Abby Rd
Farmingdale, NJ 07727-4008
Mailing address
13 Abby Rd
Farmingdale, NJ 07727-4008
Phone (201) 681-6390
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 445SW00245800 | Medicaid | NJ |
Other providers in Farmingdale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.