Healthcare Provider Details

I. General information

NPI: 1124174586
Provider Name (Legal Business Name): THOMAS W. LUDLOW. LCSW, LCADC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CRAIG RD
MANALAPAN NJ
07726-8742
US

IV. Provider business mailing address

300 CRAIG RD
MANALAPAN NJ
07726-8742
US

V. Phone/Fax

Practice location:
  • Phone: 732-780-2448
  • Fax:
Mailing address:
  • Phone: 732-780-2448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number37LC00036300
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC01455700
License Number StateNJ

VIII. Authorized Official

Name: THOMAS W. LUDLOW
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: MSSW
Phone: 732-780-2448