Active NPIIndividual providerSole proprietor

Lissa Captain, MSW, LCSW

Social Worker, Clinical in Closter, New Jersey

NPI Number1003196023
Practice location
294 Harrington Ave, Closter, NJ 07624-1912
Fax
—
Last updated
February 23, 2014

Lissa Captain is a Social Worker, Clinical based in Closter, NJ. Lissa Captain practices in Closter, NJ and has the professional credentials of MSW, LCSW. The NPI Number for Lissa Captain is 1003196023 and holds a License No. 44SC05310100 (NJ). The current practice location address for Lissa Captain is 294 Harrington Ave, Closter, NJ 07624-1912 and can be reached out via phone at 973-650-9078.

Provider Profile Details

NPI Number
1003196023
Provider Name
Lissa Captain
Credential
MSW, LCSW
Provider Entity Type
Individual
Gender
Female
Address
294 Harrington Ave, Closter, NJ 07624-1912
Phone Number
973-650-9078
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 22, 2011
Last Update Date
February 23, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
294 Harrington Ave
Closter, NJ 07624-1912
Zip
07624-1912
Phone Number
973-650-9078
Closter, NJ 07624Get directions →

Provider Business Mailing Address Details

Address
200 Sussex St
Paterson, NJ 07503-2722
City
Paterson
State
NJ
Zip
07503-2722
Phone Number
973-650-9078

License Information

License Number
44SC05310100
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lissa Captain, MSW, LCSW?

The NPI number of Lissa Captain, MSW, LCSW is 1003196023. It was assigned on August 22, 2011 and is currently active in the NPPES registry.

What is the specialty of Lissa Captain, MSW, LCSW?

Lissa Captain, MSW, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05310100.

Where does Lissa Captain, MSW, LCSW practice?

The practice location is 294 Harrington Ave, Closter, NJ 07624-1912. The office can be reached at 973-650-9078 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003196023 directly on the NPPES registry website.

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