Provider Demographics
NPI:1205905577
Name:SHOLOM, SARI (MSW LCSW)
Entity type:Individual
Prefix:
First Name:SARI
Middle Name:
Last Name:SHOLOM
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 1:746 HIGHWAY 34
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-6680
Mailing Address - Country:US
Mailing Address - Phone:732-264-8878
Mailing Address - Fax:732-566-7727
Practice Address - Street 1:242 OLD NEW BRUNSWICK ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:PISCATAWNY
Practice Address - State:NJ
Practice Address - Zip Code:08854
Practice Address - Country:US
Practice Address - Phone:732-463-1212
Practice Address - Fax:732-566-7727
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC001850001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical