Active NPIIndividual provider

Mrs. Lisa C Dodgen, MA

Counselor, Addiction (Substance Use Disorder) in Boonton, New Jersey

NPI Number1700112562
Practice location
130 Powerville RD, Boonton, NJ 07005-8705
Fax
973-316-1829
Last updated
October 28, 2009

Lisa Calabrese Dodgen is a Counselor, Addiction (Substance Use Disorder) based in Boonton, NJ. Lisa Calabrese Dodgen practices in Boonton, NJ and has the professional credentials of MA. The NPI Number for Lisa Calabrese Dodgen is 1700112562. The current practice location address for Lisa Calabrese Dodgen is 130 Powerville RD, Boonton, NJ 07005-8705 and can be reached out via phone at 973-316-1894 and via fax at 973-316-1829.

Provider Profile Details

NPI Number
1700112562
Provider Name
Lisa Calabrese Dodgen
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
130 Powerville RD, Boonton, NJ 07005-8705
Phone Number
973-316-1894
Fax Number
973-316-1829
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
October 28, 2009
Last Update Date
October 28, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Powerville RD
Boonton, NJ 07005-8705
Zip
07005-8705
Phone Number
973-316-1894
Fax Number
973-316-1829
Boonton, NJ 07005Get directions →

Provider Business Mailing Address Details

Address
130 Powerville RD
Boonton, NJ 07005-8705
City
Boonton
State
NJ
Zip
07005-8705
Phone Number
973-316-1894
Fax Number
973-316-1829

License Information

Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · 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 Mrs. Lisa C Dodgen, MA?

The NPI number of Mrs. Lisa C Dodgen, MA is 1700112562. It was assigned on October 28, 2009 and is currently active in the NPPES registry.

What is the specialty of Mrs. Lisa C Dodgen, MA?

Mrs. Lisa C Dodgen, MA is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X).

Where does Mrs. Lisa C Dodgen, MA practice?

The practice location is 130 Powerville RD, Boonton, NJ 07005-8705. The office can be reached at 973-316-1894 (phone) or 973-316-1829 (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 1700112562 directly on the NPPES registry website.

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