Provider Demographics
NPI:1215273156
Name:BYERS, CRAIG JOSEPH (LCSW)
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:JOSEPH
Last Name:BYERS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 PHEASANT WALK
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-3854
Mailing Address - Country:US
Mailing Address - Phone:201-741-4213
Mailing Address - Fax:
Practice Address - Street 1:15 PHEASANT WALK
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-3854
Practice Address - Country:US
Practice Address - Phone:201-741-4213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-21
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC047910001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical