Active NPIIndividual providerSole proprietor

Mrs. Larisa Mezhiborsky, LCSW

Social Worker in Marlton, New Jersey

NPI Number1972185585
Practice location
525 Route 73 N Ste 104, Marlton, NJ 08053-3422
Fax
—
Last updated
August 25, 2024

Larisa Mezhiborsky is a Social Worker based in Marlton, NJ. Larisa Mezhiborsky practices in Marlton, NJ and has the professional credentials of LCSW. The NPI Number for Larisa Mezhiborsky is 1972185585 and holds a License No. SW-GTL-20-01728 (NJ). The current practice location address for Larisa Mezhiborsky is 525 Route 73 N Ste 104, Marlton, NJ 08053-3422 and can be reached out via phone at 347-840-3173.

Provider Profile Details

NPI Number
1972185585
Provider Name
Larisa Mezhiborsky
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
525 Route 73 N Ste 104, Marlton, NJ 08053-3422
Phone Number
347-840-3173
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
April 22, 2021
Last Update Date
August 25, 2024
Certification Date
August 25, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
525 Route 73 N Ste 104
Marlton, NJ 08053-3422
Zip
08053-3422
Phone Number
347-840-3173
Marlton, NJ 08053Get directions →

Provider Business Mailing Address Details

Address
28 Warren RD
Fair Lawn, NJ 07410-3318
City
Fair Lawn
State
NJ
Zip
07410-3318
Phone Number
347-840-3173

License Information

License Number
SW-GTL-20-01728
License State
NJ
Taxonomy
Social Worker · 104100000X · 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. Larisa Mezhiborsky, LCSW?

The NPI number of Mrs. Larisa Mezhiborsky, LCSW is 1972185585. It was assigned on April 22, 2021 and is currently active in the NPPES registry.

What is the specialty of Mrs. Larisa Mezhiborsky, LCSW?

Mrs. Larisa Mezhiborsky, LCSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NJ under license number SW-GTL-20-01728.

Where does Mrs. Larisa Mezhiborsky, LCSW practice?

The practice location is 525 Route 73 N Ste 104, Marlton, NJ 08053-3422. The office can be reached at 347-840-3173 (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 1972185585 directly on the NPPES registry website.

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