Healthcare Provider Details

I. General information

NPI: 1831438167
Provider Name (Legal Business Name): TOVA BARON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2013
Last Update Date: 02/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 US HIGHWAY 22
BRIDGEWATER NJ
08807-2405
US

IV. Provider business mailing address

540 US HIGHWAY 22
BRIDGEWATER NJ
08807-2405
US

V. Phone/Fax

Practice location:
  • Phone: 732-857-3788
  • Fax: 732-324-2211
Mailing address:
  • Phone: 732-857-3788
  • Fax: 732-324-2211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05456600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: