Michelle Denise Lane, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04734800 Issued in NJ

Practice address

130 Powerville Rd
Mica Outpatient Services , Saint Clares Hospital
Boonton, NJ 07005-8705

Phone

(973) 316-1894

Fax

(973) 316-1882

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053473538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070050276",
            "telephone_number": "973-479-7479",
            "fax_number": "973-316-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 POWERVILLE RD",
            "address_2": "MICA OUTPATIENT SERVICES , SAINT CLARES HOSPITAL",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070058705",
            "telephone_number": "973-316-1894",
            "fax_number": "973-316-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "MICHELLE",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04734800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Leslie Jean Laufer, LMT
• Sarah Lee
• Stephanie D Lee, DO
• Jennifer Lenihan, PT
• Paul Michael Lewandowski, DC

• Clinical Social Worker in Boonton, NJ
• Providers in Boonton, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.