Active NPIIndividual provider

Lisa M Burkholder, LCSW

Social Worker, Clinical in Mount Laurel, New Jersey

NPI Number1063990802
Practice location
505A Cypress Point Cir, Mount Laurel, NJ 08054-2742
Fax
—
Last updated
August 5, 2025

Lisa Marie Burkholder is a Social Worker, Clinical based in Mount Laurel, NJ. Lisa Marie Burkholder practices in Mount Laurel, NJ and has the professional credentials of LCSW. The NPI Number for Lisa Marie Burkholder is 1063990802 and holds a License No. CW019327 (PA). The current practice location address for Lisa Marie Burkholder is 505A Cypress Point Cir, Mount Laurel, NJ 08054-2742 and can be reached out via phone at 856-566-6843.

Provider Profile Details

NPI Number
1063990802
Provider Name
Lisa Marie Burkholder
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
505A Cypress Point Cir, Mount Laurel, NJ 08054-2742
Phone Number
856-566-6843
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 3, 2018
Last Update Date
August 5, 2025
Certification Date
August 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
505A Cypress Point Cir
Mount Laurel, NJ 08054-2742
Zip
08054-2742
Phone Number
856-566-6843
Mount Laurel, NJ 08054Get directions →

Provider Business Mailing Address Details

Address
505A Cypress Point Cir
Mount Laurel, NJ 08054-2742
City
Mount Laurel
State
NJ
Zip
08054-2742
Phone Number
856-566-6843

License Information

License Number (1)
CW019327
License State (1)
PA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
44SC05905800
License State (2)
NJ
Taxonomy (2)
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 Lisa M Burkholder, LCSW?

The NPI number of Lisa M Burkholder, LCSW is 1063990802. It was assigned on August 3, 2018 and is currently active in the NPPES registry.

What is the specialty of Lisa M Burkholder, LCSW?

Lisa M Burkholder, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in PA under license number CW019327.

Where does Lisa M Burkholder, LCSW practice?

The practice location is 505A Cypress Point Cir, Mount Laurel, NJ 08054-2742. The office can be reached at 856-566-6843 (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 1063990802 directly on the NPPES registry website.

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