Individual provider · Type 1 NPI

Carolyn Davis-Cottle

Clinical Social Worker · Maplewood, NJ

NPI number 1649640897 Active

Practice location

2130 Millburn Ave
Maplewood, NJ 07040-3725

Mailing address

90 Valley Way
West Orange, NJ 07052-5833

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC05642500 (NJ)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1649640897

Carolyn Davis-Cottle's National Provider Identifier is 1649640897, issued on Sep 30, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Maplewood, NJ. The record was last updated on Sep 30, 2015.