Provider Demographics
NPI:1851007785
Name:ADEL, CHLOE PAIGE (LCSW)
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:PAIGE
Last Name:ADEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 PIERSON MILLER DR APT F32
Mailing Address - Street 2:
Mailing Address - City:POMPTON LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07442-1059
Mailing Address - Country:US
Mailing Address - Phone:973-568-9138
Mailing Address - Fax:
Practice Address - Street 1:1536 STATE ROUTE 23 # 1023
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-7516
Practice Address - Country:US
Practice Address - Phone:973-317-8437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical