Active NPI
Michael Paul Lepak, L.C.S.W.
- Clinical Social Worker
- Montclair, NJ
National Provider Identifier
1063667384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05311100
- Practice address
- 103 Park St
Suite 2a
Montclair, NJ 07042-5913 - Phone
- (973) 380-9381
- NPI assigned
- Dec 1, 2008
- Last updated
- Dec 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05311100 | NJ | Primary |
Addresses
Primary practice location
103 Park St
Suite 2a
Montclair, NJ 07042-5913
Mailing address
103 Park St
Suite 2a
Montclair, NJ 07042-5913
Phone (973) 380-9381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2021 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228089600000",
"number": "1063667384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 PARK ST",
"address_2": "SUITE 2A",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070425913",
"telephone_number": "973-380-9381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 PARK ST",
"address_2": "SUITE 2A",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070425913",
"telephone_number": "973-380-9381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEPAK",
"first_name": "MICHAEL",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-01",
"last_updated": "2008-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05311100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.