Basic Information
Provider Information
NPI: 1043649437
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CAHILIG
FirstName: SHEILA
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 151 KNOLLCROFT RD UNIT 143BT
Address2:  
City: LYONS
State: NJ
PostalCode: 079395001
CountryCode: US
TelephoneNumber: 9086470180
FaxNumber: 9086045258
Practice Location
Address1: 151 KNOLLCROFT RD
Address2: 116D-C34B
City: LYONS
State: NJ
PostalCode: 079395001
CountryCode: US
TelephoneNumber: 9086470180
FaxNumber: 9086045836
Other Information
ProviderEnumerationDate: 11/06/2013
LastUpdateDate: 12/23/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X44SC05507900NJY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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