Individual provider Active NPI

Carol Joan Billow

  • Clinical Social Worker
  • Chatham, NJ
National Provider Identifier
1942560040
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
NEW JERSEY LCSW W178 Issued in NJ
Practice address
5 Town Square
Chatham, NJ 07928-2568
Phone
(973) 635-5554
NPI assigned
May 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NEW JERSEY LCSW W178 NJ Primary

Addresses

Primary practice location

5 Town Square
Chatham, NJ 07928-2568

Mailing address

5 Town Square
Chatham, NJ 07928-2568
Phone (973) 635-5554

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NEW JERSEY LCSW W178NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1942560040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TOWN SQUARE",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282568",
            "telephone_number": "973-635-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 TOWN SQUARE",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282568",
            "telephone_number": "973-635-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLOW",
        "first_name": "CAROL",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "NEW JERSEY LCSW W178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.