Carol Lynn Dipaola, LICENSED CLINICAL SO

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04970200

Practice address

71 W Main St Ste 306
Freehold, NJ 07728-2139

Phone

(908) 692-0925

Fax

(732) 252-8612

NPI assigned

Apr 9, 2007

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

Other names 1

• Ms. Carol Lynn Katchik Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1891818589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 W MAIN ST STE 306",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282139",
            "telephone_number": "908-692-0925",
            "fax_number": "732-252-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 W MAIN ST STE 306",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282139",
            "telephone_number": "908-692-0925",
            "fax_number": "732-252-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPAOLA",
        "first_name": "CAROL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LICENSED CLINICAL SO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "44SC04970200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "KATCHIK",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "MSW BCD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen Dilorenzo, MS CCC-SLP
• Alicia Dilts, LPC
• Dorea Dimaggio, PA-C
• Michael L Dimino, MD
• Dipaola Center for Psychotherapy LLC
• Thomas Charles Dipaola, LICENSED CLINICAL SO
• Donna Dipietro, CRNA
• Kelley Dippold
• Aspasia Sue Disakias, L.AC
• Robert Michael Disogra, AU.D.

• Clinical Social Worker in Freehold, NJ
• Providers in Freehold, 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 Nov 6, 2008; 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.