| Doctor Name: | DR. MARIA DEOCA CORWIN |
| NPI Number: | 1013120955 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D LCSW |
| License Number: | 44SC01379300 |
| Business Practice Address: | 410 Farnsworth Ave Bordentown Counseling Center Bordentown, NJ - 085052005 |
| Business Phone Number: | 6092989144 |
| Business Fax Number: | 6092989288 |
| Mailing Address: | 14 Willow Rd, LAWRENCEVILLE |
| State: | NJ |
| Postal Code: | 086481620 |
| Phone Number: | 6098962738 |
| Fax Number: | 6098960256 |
| NPI Enumeration Date: | 05/07/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SC01379300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |