Healthcare Provider Details

I. General information

NPI: 1750401592
Provider Name (Legal Business Name): CAROL SCHIFF HOROWITZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4475 ROUTE 27
KINGSTON NJ
08528-9601
US

IV. Provider business mailing address

665 SNOWDEN LN
PRINCETON NJ
08540-2945
US

V. Phone/Fax

Practice location:
  • Phone: 609-683-1945
  • Fax:
Mailing address:
  • Phone: 609-921-1535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSC100390
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: