Provider Demographics
NPI:1447307665
Name:OBERLE, CAROL ANN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:ANN
Last Name:OBERLE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 SYCAMORE AVE
Mailing Address - Street 2:SUITE 3D
Mailing Address - City:LITTLE SILVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07739-1242
Mailing Address - Country:US
Mailing Address - Phone:732-933-8370
Mailing Address - Fax:
Practice Address - Street 1:44 SYCAMORE AVE
Practice Address - Street 2:SUITE 3D
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1242
Practice Address - Country:US
Practice Address - Phone:732-933-8370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical