Individual provider · NPI-1

Pauline Bailo, LCSW

Social Worker, Clinical · Eatontown, NJ

NPI number1669944278
StatusActive
Last updated in NPPESJul 21, 2025

Details

NPI
1669944278
Entity type
Individual (NPI-1)
Name
Pauline Bailo
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 20, 2018
Certification date
Jul 21, 2025
Last updated
Jul 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical44SC05831900NJYes

Practice location

99 Corbett Way Ste 304
Eatontown, NJ 07724-4261

Phone 732-962-6306

Mailing address

99 Corbett Way Ste 304
Eatontown, NJ 07724-4261

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