Organization Active NPI

Lakewood Counseling Services LLC

  • Clinical Social Worker
  • Lakewood, NJ
National Provider Identifier
1114814191
Registry record updated Jun 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LAKEWOOD COUNSELING SERVICES LLC
Practice address
1594 S Lake Dr
Lakewood, NJ 08701-2450
Phone
(732) 616-0581
NPI assigned
Jun 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2025

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

Authorized official

Name
Blanca Klein
Title
LCSW
Phone
(732) 616-0581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1594 S Lake Dr
Lakewood, NJ 08701-2450

Mailing address

1594 S Lake Dr
Lakewood, NJ 08701-2450
Phone (732) 616-0581

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750464000000",
    "number": "1114814191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1594 S LAKE DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012450",
            "telephone_number": "732-616-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1594 S LAKE DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012450",
            "telephone_number": "732-616-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-21",
        "last_updated": "2025-06-21",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "732-616-0581"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2025; 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.