Carolyn Stout, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05334200 Issued in NJ

Practice address

231 Clarksville Rd Ste 4a
Princeton Junction, NJ 08550

Phone

(732) 982-2888

Fax

(847) 859-5885

NPI assigned

Oct 4, 2018

Last updated

Dec 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Jersey Behavioral Health P.C

  • Psychologist
  • Princeton Junction, NJ
  • NPI 1538744297
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1851866040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E HAWTHORN PKWY STE 235",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611454",
            "telephone_number": "847-737-8768",
            "fax_number": "847-859-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 CLARKSVILLE RD STE 4A",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "08550",
            "telephone_number": "732-982-2888",
            "fax_number": "847-859-5885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 Bresnahan Rd",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086912405",
            "country_code": "US",
            "telephone_number": "908-249-1277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "231 Clarksville Rd Ste 4A",
            "address_purpose": "LOCATION",
            "city": "Princeton Junction",
            "state": "NJ",
            "postal_code": "08550",
            "country_code": "US",
            "telephone_number": "732-982-2888",
            "fax_number": "847-859-5885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOUT",
        "first_name": "CAROLYN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05334200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Slayback Health LLC
• Jay Andrew Sloan, LCSW
• Marie M Smith, LCSW
• Gabriella Song, PMHNP-BC
• Lisa A Steinhilber, L.P.C.
• Strategic Counseling Services, LLC
• Vaishali Vyas Suchak, D.M.D
• Abinas Kour Sudan
• Summit Behavioral Health
• Summitt Behavioral Health

• Clinical Social Worker in Princeton Junction, NJ
• Providers in Princeton Junction, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.