Donna S Astor-Lazarus, LCSW

Individual provider Active NPI Clinical Social Worker · Skillman, NJ

NPI 1679780878 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1679780878
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
44SC01022300 (NJ)
Practice address
98 Tamarack Cir
Skillman, NJ 08558-2020
Phone
(609) 683-9122
Fax
(609) 683-5229
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
44SC01022300NJMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC01022300 NJ Yes

Addresses

Primary practice location

98 Tamarack Cir
Skillman, NJ 08558-2020

Mailing address

98 Tamarack Cir
Skillman, NJ 08558-2020
Phone (609) 683-9122

Other providers in Skillman, NJ

All providers in Skillman, NJ · Clinical Social Worker in New Jersey

Sources for this page

Verify at the official NPI Registry.