Active NPIIndividual providerSole proprietor

Mr. Michael Dworkis, NCC, LPC

Counselor, Mental Health in Fair Lawn, New Jersey

NPI Number1275060766
Practice location
17-10 River RD, Fair Lawn, NJ 07410-1252
Fax
—
Last updated
March 25, 2022

Michael Dworkis is a Counselor, Mental Health based in Fair Lawn, NJ. Michael Dworkis practices in Fair Lawn, NJ and has the professional credentials of NCC, LPC. The NPI Number for Michael Dworkis is 1275060766 and holds a License No. 37AC00219900 (NJ). The current practice location address for Michael Dworkis is 17-10 River RD, Fair Lawn, NJ 07410-1252 and can be reached out via phone at 551-299-2055.

Provider Profile Details

NPI Number
1275060766
Provider Name
Michael Dworkis
Credential
NCC, LPC
Provider Entity Type
Individual
Gender
Male
Address
17-10 River RD, Fair Lawn, NJ 07410-1252
Phone Number
551-299-2055
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
May 16, 2017
Last Update Date
March 25, 2022
Certification Date
March 15, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
17-10 River RD
Fair Lawn, NJ 07410-1252
Zip
07410-1252
Phone Number
551-299-2055
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
13-11 Ellis Ave
Fair Lawn, NJ 07410-6201
City
Fair Lawn
State
NJ
Zip
07410-6201
Phone Number
201-280-9887

License Information

License Number (1)
37AC00219900
License State (1)
NJ
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
37PC00608900
License State (2)
NJ
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · 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 Mr. Michael Dworkis, NCC, LPC?

The NPI number of Mr. Michael Dworkis, NCC, LPC is 1275060766. It was assigned on May 16, 2017 and is currently active in the NPPES registry.

What is the specialty of Mr. Michael Dworkis, NCC, LPC?

Mr. Michael Dworkis, NCC, LPC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00219900.

Where does Mr. Michael Dworkis, NCC, LPC practice?

The practice location is 17-10 River RD, Fair Lawn, NJ 07410-1252. The office can be reached at 551-299-2055 (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 1275060766 directly on the NPPES registry website.

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