MS. CARLY MARIE FAZIO LCSW, LCADC
NPI 1639698111
Social Worker in Middletown, NJ

Q: What is Carly Fazio's NPI number?

The NPI number for Carly Fazio is 1639698111. It was assigned to this individual provider in the NPPES registry on September 15, 2017.

Q: What is Carly Fazio's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Carly Fazio was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 15, 2017

18 KINGS HWY STE 100, MIDDLETOWN, NJ 07748(732) 359-2212 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2023, Nov 19, 2021, Jul 16, 2021 and 3 more (6 updates tracked since 2017).

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About Ms. Carly Marie Fazio Lcsw, Lcadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CARLY MARIE FAZIO LCSW, LCADC (NPI 1639698111) is an individual social worker in Middletown, New Jersey, licensed in New Jersey (44SL06278200) and active in the NPI registry since September 2017. She maintains a secondary practice location in Matawan.

NPPES Registry Identity

NPI1639698111

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMS. CARLY MARIE FAZIOCredential: LCSW, LCADC

Location Address18 KINGS HWY STE 100Middletown, NJ 07748-2509

Mailing Address18 Kings Hwy Ste 100Middletown, NJ 07748-2509 · (732) 359-2212

Phone(732) 359-2212

Sole ProprietorNo

Enumeration DateSeptember 15, 2017

Last NPPES UpdateJanuary 9, 20236 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2023

✔ NPI 1639698111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NJ · 44SL06278200

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

18 KINGS HWY STE 100, Middletown, NJ 07748

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Secondary Practice Location 1

Location 1166 Main StMatawan, NJ 07747-3104 · Phone (732) 290-9040 ext. 441

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carly Fazio's NPI number?

The NPI number for Carly Fazio is 1639698111. It was assigned to this individual provider in the NPPES registry on September 15, 2017.

Where is Carly Fazio located?

Carly Fazio practices at 18 Kings Hwy Ste 100, Middletown, NJ 07748. The listed phone number is (732) 359-2212.

What is Carly Fazio's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Carly Fazio was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.