Mary Lantz in Montclair - Clinical

Mary Lantz - NPI 1912009937

Mary Lantz is a Clinical in Montclair, New Jersey. Mary Lantz practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Lantz is 1912009937. The last update date is 2007-07-08.

Mary Lantz's current location address is 408 Bloomfield Ave, Montclair, New Jersey. You can contact this provider via phone number 9736559005 and fax number 9736559006. The mailing address for Mary Lantz is 408 Bloomfield Ave, Montclair, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Lantz
Address 408 Bloomfield Ave, Montclair, New Jersey
Phone Number 9736559005
Fax Number 9736559006
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1912009937
Provider Enumeration Date 2006-09-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 408 Bloomfield Ave
City Montclair
State New Jersey (NJ)
Post Code 70423532
Phone Number 9736559005
Fax Number 9736559006

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 44SC05183200
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 Mary Lantz

What is the Mary Lantz's unique identification number?

The Mary Lantz has been assigned the NPI (National Provider Identifier) Number 1912009937 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Mary Lantz?

The Mary Lantz is physically situated at 408 Bloomfield Ave, in the city of Montclair, state of NJ, with the postal code 70423532.

What is the area of specialization for Mary Lantz, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mary Lantz is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.

When did the Mary Lantz receive its 1912009937?

The Mary Lantz was issued its 1912009937 on 2006-09-01, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Mary Lantz last refreshed?

The information related to the Mary Lantz, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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