Healthcare Provider Details

I. General information

NPI: 1336714898
Provider Name (Legal Business Name): CARA FLYGE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2021
Last Update Date: 12/02/2024
Certification Date: 12/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 PRINCESS RD STE 206
LAWRENCEVILLE NJ
08648-2322
US

IV. Provider business mailing address

4 PRINCESS RD STE 206
LAWRENCEVILLE NJ
08648-2322
US

V. Phone/Fax

Practice location:
  • Phone: 609-482-3701
  • Fax: 609-482-3702
Mailing address:
  • Phone: 609-482-3701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06317500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: