| Doctor Name: | MR. CORY DAVID CHARGO |
| NPI Number: | 1063712313 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 44SC05548500 |
| Business Practice Address: | 12 N State Rt 17 Suite 313 Paramus, NJ - 076522644 |
| Business Phone Number: | 2013683700 |
| Business Fax Number: | 2013680055 |
| Mailing Address: | 12 N State Rt 17, Suite 313 PARAMUS |
| State: | NJ |
| Postal Code: | 076522644 |
| Phone Number: | 2013683700 |
| Fax Number: | 2013680055 |
| NPI Enumeration Date: | 11/02/2010 |
| NPI Last Update Date: | 07/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SC05548500 |
| 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 |