Active NPIIndividual provider

Lisa M Bodenheimer, LSW

Social Worker, Clinical in Stratford, New Jersey

NPI Number1285820811
Practice location
42 E Laurel RD Ste 1800-A, Stratford, NJ 08084-1354
Fax
856-566-2775
Last updated
February 5, 2024

Lisa Marie Bodenheimer is a Social Worker, Clinical based in Stratford, NJ. Lisa Marie Bodenheimer practices in Stratford, NJ and has the professional credentials of LSW. The NPI Number for Lisa Marie Bodenheimer is 1285820811 and holds a License No. SW125822 (PA). The current practice location address for Lisa Marie Bodenheimer is 42 E Laurel RD Ste 1800-A, Stratford, NJ 08084-1354 and can be reached out via phone at 856-566-6843 and via fax at 856-566-2775.

Provider Profile Details

NPI Number
1285820811
Provider Name
Lisa Marie Bodenheimer
Credential
LSW
Provider Entity Type
Individual
Gender
Female
Address
42 E Laurel RD Ste 1800-A, Stratford, NJ 08084-1354
Phone Number
856-566-6843
Fax Number
856-566-2775
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 18, 2007
Last Update Date
February 5, 2024
Certification Date
February 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
42 E Laurel RD Ste 1800-A
Stratford, NJ 08084-1354
Zip
08084-1354
Phone Number
856-566-6843
Fax Number
856-566-2775
Stratford, NJ 08084Get directions →

Provider Business Mailing Address Details

Address
42 E Laurel RD Ste 1800-A
Stratford, NJ 08084-1354
City
Stratford
State
NJ
Zip
08084-1354
Phone Number
856-566-6843
Fax Number
856-566-2775

License Information

License Number (1)
SW125822
License State (1)
PA
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
44SC05679500
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 Bodenheimer, LSW?

The NPI number of Lisa M Bodenheimer, LSW is 1285820811. It was assigned on September 18, 2007 and is currently active in the NPPES registry.

What is the specialty of Lisa M Bodenheimer, LSW?

Lisa M Bodenheimer, LSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in PA under license number SW125822.

Where does Lisa M Bodenheimer, LSW practice?

The practice location is 42 E Laurel RD Ste 1800-A, Stratford, NJ 08084-1354. The office can be reached at 856-566-6843 (phone) or 856-566-2775 (fax).

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 1285820811 directly on the NPPES registry website.

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