Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Carly Marie Fazio, LCSW, LCADC

Individual provider Social Worker · NPI 1639698111

MS. Carly Marie Fazio, LCSW, LCADC is a Social Worker in Middletown, New Jersey. Works from 2 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2017
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

18 Kings Hwy Ste 100
Middletown, NJ 07748-2509
Phone: (732) 359-2212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 166 Main St, Matawan, NJ 07747-3104 — (732) 290-9040

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 44SL06278200 (NJ)

Record details

NPI number1639698111
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LCADC
Sole proprietorNo
NPI enumeratedSeptember 15, 2017
Last updated in NPPESJanuary 9, 2023
Certification dateJanuary 9, 2023

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