Provider Demographics
NPI:1124885850
Name:THURMAN, KADE (PHD, MSW, LSW)
Entity type:Individual
Prefix:DR
First Name:KADE
Middle Name:
Last Name:THURMAN
Suffix:
Gender:F
Credentials:PHD, MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 BURNSIDE PL
Mailing Address - Street 2:
Mailing Address - City:HASKELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07420-1004
Mailing Address - Country:US
Mailing Address - Phone:973-977-5668
Mailing Address - Fax:
Practice Address - Street 1:28 BURNSIDE PL
Practice Address - Street 2:
Practice Address - City:HASKELL
Practice Address - State:NJ
Practice Address - Zip Code:07420-1004
Practice Address - Country:US
Practice Address - Phone:973-977-5668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL068216001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical