Provider Demographics
NPI:1699911719
Name:NOBLICK, CATHY L (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:CATHY
Middle Name:L
Last Name:NOBLICK
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 AVENUE AT THE COMMONS
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4807
Mailing Address - Country:US
Mailing Address - Phone:732-380-0012
Mailing Address - Fax:732-380-0019
Practice Address - Street 1:39 AVENUE AT THE COMMONS
Practice Address - Street 2:SUITE 106
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4807
Practice Address - Country:US
Practice Address - Phone:732-380-0012
Practice Address - Fax:732-380-0019
Is Sole Proprietor?:No
Enumeration Date:2008-12-18
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC0016691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical