Active NPI
Daniel Ifrah LCSW LLC
- Clinical Social Worker
- Lakewood, NJ
National Provider Identifier
1558879205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- DANIEL IFRAH LCSW LLC
- Practice address
- 701 Cross St
Lakewood, NJ 08701-4029 - Phone
- (862) 414-2130
- NPI assigned
- Jan 16, 2018
- Last updated
- Jan 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Ifrah, LCSW
- Title
- Owner
- Phone
- (862) 414-2130
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
701 Cross St
Lakewood, NJ 08701-4029
Mailing address
701 Cross St
Lakewood, NJ 08701-4029
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516147200000",
"number": "1558879205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 CROSS ST",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 CROSS ST",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014029",
"telephone_number": "862-414-2130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL IFRAH LCSW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-16",
"last_updated": "2018-01-17",
"status": "A",
"authorized_official_last_name": "IFRAH",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "862-414-2130",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"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 Jan 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.