Provider Demographics
NPI:1285729814
Name:KAHN, ARLENE ANN (LCSW, LCADC, LMFT)
Entity type:Individual
Prefix:
First Name:ARLENE
Middle Name:ANN
Last Name:KAHN
Suffix:
Gender:F
Credentials:LCSW, LCADC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 LENAPE LANE
Mailing Address - Street 2:
Mailing Address - City:PRINCETON JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08550
Mailing Address - Country:US
Mailing Address - Phone:609-799-2201
Mailing Address - Fax:609-275-1360
Practice Address - Street 1:7 LENAPE LANE
Practice Address - Street 2:
Practice Address - City:PRINCETON JUNCTION
Practice Address - State:NJ
Practice Address - Zip Code:08550-1819
Practice Address - Country:US
Practice Address - Phone:609-799-2201
Practice Address - Fax:609-275-1360
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC002013001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJKA687764Medicare ID - Type Unspecified