Active NPIIndividual providerSole proprietor

Mrs. Mary Lantz, LCSW

Social Worker, Clinical in Montclair, New Jersey

NPI Number1912009937
Practice location
408 Bloomfield Ave, Suite B, Montclair, NJ 07042-3532
Fax
973-655-9006
Last updated
July 8, 2007

Mary Lantz is a Social Worker, Clinical based in Montclair, NJ. Mary Lantz practices in Montclair, NJ and has the professional credentials of LCSW. The NPI Number for Mary Lantz is 1912009937 and holds a License No. 44SC05183200 (NJ). The current practice location address for Mary Lantz is 408 Bloomfield Ave, Suite B, Montclair, NJ 07042-3532 and can be reached out via phone at 973-655-9005 and via fax at 973-655-9006.

Provider Profile Details

NPI Number
1912009937
Provider Name
Mary Lantz
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
408 Bloomfield Ave, Suite B, Montclair, NJ 07042-3532
Phone Number
973-655-9005
Fax Number
973-655-9006
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 1, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
408 Bloomfield Ave
Suite B
Montclair, NJ 07042-3532
Zip
07042-3532
Phone Number
973-655-9005
Fax Number
973-655-9006
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
408 Bloomfield Ave
Suite B
Montclair, NJ 07042-3532
City
Montclair
State
NJ
Zip
07042-3532
Phone Number
973-655-9005
Fax Number
973-655-9006

License Information

License Number
44SC05183200
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 Mrs. Mary Lantz, LCSW?

The NPI number of Mrs. Mary Lantz, LCSW is 1912009937. It was assigned on September 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Mary Lantz, LCSW?

Mrs. Mary Lantz, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05183200.

Where does Mrs. Mary Lantz, LCSW practice?

The practice location is 408 Bloomfield Ave, Suite B, Montclair, NJ 07042-3532. The office can be reached at 973-655-9005 (phone) or 973-655-9006 (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 1912009937 directly on the NPPES registry website.

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