Carly H Herschman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05807300 Issued in NJ

Practice address

2 W Hanover Ave Ste 203
Randolph, NJ 07869-4222

Phone

(862) 432-8649

NPI assigned

Jul 2, 2019

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1932761632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LENOX RD",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078662256",
            "telephone_number": "862-432-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W HANOVER AVE STE 203",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694222",
            "telephone_number": "862-432-8649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSCHMAN",
        "first_name": "CARLY",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05807300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• HBLR/Randolph Operating, LLC
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• Healthy Living at 140 LLC
• Hearing Health PA LLC
• Nicolas Joseph Hernandez, PT
• Eric Scott Herschman, PSY.D.
• Susan Gail Herschman, PSY.D.
• Bethany Hill
• Vicci Hill
• Maureen M Hinds

• Clinical Social Worker in Randolph, NJ
• Providers in Randolph, 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 Jul 2, 2019; 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.