Healthcare Provider Details
I. General information
NPI: 1730470956
Provider Name (Legal Business Name): BARBARA CID PROFESSIONAL DEGREED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/21/2011
Last Update Date: 12/04/2024
Certification Date: 12/04/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
23 MATTHEW AVE
CARTERET NJ
07008-2843
US
IV. Provider business mailing address
23 MATTHEW AVE
CARTERET NJ
07008-2843
US
V. Phone/Fax
- Phone: 732-900-3814
- Fax:
- Phone: 732-742-4224
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 222Q00000X |
| Taxonomy | Developmental Therapist |
| License Number | 44SW05293100 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 44SW05293100 |
| License Number State | NJ |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | 44SW05293100 |
| License Number State | NJ |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041S0200X |
| Taxonomy | School Social Worker |
| License Number | 612131 |
| License Number State | NJ |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YS0200X |
| Taxonomy | School Counselor |
| License Number | 612131 |
| License Number State | NJ |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | 44SW05293100 |
| License Number State | NJ |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | 100059589 |
| License Number State | NJ |
| # 8 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171400000X |
| Taxonomy | Health & Wellness Coach |
| License Number | 44SW05293100 |
| License Number State | NJ |
| # 9 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | 44SW05293100 |
| License Number State | NJ |
| # 10 | |
| Primary Taxonomy | N |
| Taxonomy Code | 222Q00000X |
| Taxonomy | Developmental Therapist |
| License Number | 1000059589 |
| License Number State | NJ |
| # 11 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171R00000X |
| Taxonomy | Interpreter |
| License Number | 44SW05293100 |
| License Number State | NJ |
| # 12 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | CAVA5838 |
| License Number State | PR |
| # 13 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 44SW05293100 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone:
