Kathleen Lutz in Montclair - Clinical

Kathleen Lutz - NPI 1215064035

Kathleen Lutz is a Clinical in Montclair, New Jersey. Kathleen Lutz practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathleen Lutz is 1215064035. The last update date is 2011-03-05.

Kathleen Lutz's current location address is 460 Bloomfield Ave, Montclair, New Jersey. You can contact this provider via phone number 2018360303 and fax number 9734032927. The mailing address for Kathleen Lutz is 460 Bloomfield Ave, Montclair, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathleen Lutz
Address 460 Bloomfield Ave, Montclair, New Jersey
Phone Number 2018360303
Fax Number 9734032927
Sole Proprietor Y
Credentials LCSW, LCAD

NPI Number Detail

NPI Number 1215064035
Provider Enumeration Date 2007-02-28
Last Updated Date 2011-03-05

Provider Mailing Address Detail

Address 460 Bloomfield Ave
City Montclair
State New Jersey (NJ)
Post Code 70423582
Phone Number 2018360303
Fax Number 9734032927

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 44SC00357300
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Kathleen Lutz

What is the unique provider identifier assigned to Kathleen Lutz?

The Kathleen Lutz has been issued the NPI (National Provider Identifier) 1215064035 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Kathleen Lutz?

The Kathleen Lutz is physically situated at 460 Bloomfield Ave, in the city of Montclair, state of NJ, with the postal code 70423582.

What is Kathleen Lutz's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kathleen Lutz is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did the Kathleen Lutz receive the assignment of its 1215064035 from the Centers for Medicare & Medicaid Services?

The Kathleen Lutz was issued its 1215064035 by the Centers for Medicare & Medicaid Services on 2007-02-28.

As of what date were the details related to Kathleen Lutz most recently updated or revised?

The information pertaining to Kathleen Lutz, including its address, specialty, and other relevant details, was last updated or revised on 2011-03-05.

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