Provider Demographics
NPI:1386871143
Name:BATTLE SLAUGHTER, CAROLYN A (LCSW)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:A
Last Name:BATTLE SLAUGHTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:ANNE
Other - Last Name:BATTLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2805 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-1016
Mailing Address - Country:US
Mailing Address - Phone:609-647-8048
Mailing Address - Fax:
Practice Address - Street 1:2805 MAIN ST
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-1016
Practice Address - Country:US
Practice Address - Phone:609-647-8048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-18
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SCO53106001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical