Michael Morris Lake, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05872300 Issued in NJ

Practice address

70 Brooklawn Dr
Morris Plains, NJ 07950-3139

Phone

(201) 400-7354

NPI assigned

Apr 22, 2020

Last updated

Apr 22, 2020By the provider in NPPES

Sex

Male

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": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1326668054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 BROOKLAWN DR",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079503139",
            "telephone_number": "201-400-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 BROOKLAWN DR",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079503139",
            "telephone_number": "201-400-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "MICHAEL",
        "middle_name": "MORRIS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05872300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana James Krafcik, LCSW, LCADC
• Manjula Kumar, M.D.
• George Kuryllo, D.M.D.
• Carolyn J Kushner, MD
• Stella T Kyaw-Soe
• Brad W. Lambert, M.P.T., C.S.C.S.
• Johann Larkin, LSW
• Alicia M Lecourieux, M.S., BCBA
• Beomho Lee
• Janice Lee, MA, BCBA

• Clinical Social Worker in Morris Plains, NJ
• Providers in Morris Plains, 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 Apr 22, 2020; 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.