MEDICARE: BARBARA TITUS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	44SC05203100	NJ

General Provider Information

NPI Number	:	1982025425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA TITUS LCSW

Provider Business Mailing Address
First Line	:	56 S MAIN ST
Second Line	:	SUITE C
City	:	STOCKTON
State	:	NJ
Zip	:	08559-2153
Country	:	US
Telephone Number	:	908-910-8891
Fax Number	:

Provider Business Practice Location Address
First Line	:	56 S MAIN ST
Second Line	:	SUITE C
City	:	STOCKTON
State	:	NJ
Zip	:	08559-2153
Country	:	US
Telephone Number	:	908-910-8891
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/31/2013
Last Update Date	:	12/31/2013

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