Provider Demographics
NPI:1437664802
Name:RECEVEUR, CAROLYN JOYCE (LCSW)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:JOYCE
Last Name:RECEVEUR
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 1:104-110 MAPLE AVE.
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701
Mailing Address - Country:US
Mailing Address - Phone:732-865-4182
Mailing Address - Fax:
Practice Address - Street 1:104-110 MAPLE AVE.
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701
Practice Address - Country:US
Practice Address - Phone:732-865-4182
Practice Address - Fax:848-300-2646
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-07
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC047414001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical