Healthcare Provider Details

I. General information

NPI: 1043649437
Provider Name (Legal Business Name): MS. SHEILA CAHILIG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2013
Last Update Date: 12/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 KNOLLCROFT RD 116D-C34B
LYONS NJ
07939-5001
US

IV. Provider business mailing address

151 KNOLLCROFT RD UNIT 143BT
LYONS NJ
07939-5001
US

V. Phone/Fax

Practice location:
  • Phone: 908-647-0180
  • Fax: 908-604-5836
Mailing address:
  • Phone: 908-647-0180
  • Fax: 908-604-5258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05507900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: