Active NPIIndividual provider

Mr. George L Lafountain Jr., MSW LCSW

Social Worker, Clinical in Ridgewood, New Jersey

NPI Number1477562023
Practice location
65 N Maple Ave, #208, Ridgewood, NJ 07450
Fax
973-667-8147
Last updated
July 8, 2007

George Louis Lafountain is a Social Worker, Clinical based in Ridgewood, NJ. George Louis Lafountain practices in Ridgewood, NJ and has the professional credentials of MSW LCSW. The NPI Number for George Louis Lafountain is 1477562023 and holds a License No. 44SC00150900 (NJ). The current practice location address for George Louis Lafountain is 65 N Maple Ave, #208, Ridgewood, NJ 07450 and can be reached out via phone at 201-444-4228 and via fax at 973-667-8147.

Provider Profile Details

NPI Number
1477562023
Provider Name
George Louis Lafountain
Credential
MSW LCSW
Provider Entity Type
Individual
Gender
Male
Address
65 N Maple Ave, #208, Ridgewood, NJ 07450
Phone Number
201-444-4228
Fax Number
973-667-8147
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 5, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 N Maple Ave
#208
Ridgewood, NJ 07450
Zip
07450
Phone Number
201-444-4228
Fax Number
973-667-8147
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
12 Newman Ave
Nutley, NJ 07110-2126
City
Nutley
State
NJ
Zip
07110-2126
Phone Number
201-444-4228
Fax Number
973-667-8147

License Information

License Number
44SC00150900
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 Mr. George L Lafountain Jr., MSW LCSW?

The NPI number of Mr. George L Lafountain Jr., MSW LCSW is 1477562023. It was assigned on August 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. George L Lafountain Jr., MSW LCSW?

Mr. George L Lafountain Jr., MSW LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC00150900.

Where does Mr. George L Lafountain Jr., MSW LCSW practice?

The practice location is 65 N Maple Ave, #208, Ridgewood, NJ 07450. The office can be reached at 201-444-4228 (phone) or 973-667-8147 (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 1477562023 directly on the NPPES registry website.

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