Lauren Simicich LCSW
Organization Active NPI Adult Mental Health Clinic/Center · Allentown, NJ
NPI 1770153355 · NPPES record last updated Oct 14, 2021
Key facts
- NPI
- 1770153355
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Mental Health Clinic/Center 261QM0850X
- Legal business name
- LAUREN SIMICICH LCSW
- Practice address
- 112 Route 526
Allentown, NJ 08501-2015 - Phone
- (732) 512-8766
- NPI assigned
- Jun 28, 2021
- Organization subpart
- No
Authorized official
- Name
- Lauren Simicich, LCSW, LCADC
- Title
- Owner
- Phone
- (609) 807-8395
Practitioners 4
-
Lauren Emerson Simicich, LCSW, LCADC
-
Tracy Ann Lezott, LCSW, LCADC
-
Kelsey Gilligan, LPC, NCC
-
Gina G Stouter, LAC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211102000284 | NJ | Part B Supplier - Clinic/Group Practice | 7416345020 |
Receives reassigned benefits from 1 practitioner Practice locations: Allentown, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Yes |
Addresses
Primary practice location
112 Route 526
Allentown, NJ 08501-2015
Mailing address
112 Route 526
Allentown, NJ 08501-2015
Phone (732) 512-8766
Other providers in Allentown, NJ
- Brian Irwin
- Jolene Bauer DMD, PC
- Dennis Kahn
- Rebecca Gold Kashdan
- Kim Wojcik DC LLC
- Richard Joseph Lazauskas
- Tonimaria Lee
- Tracy Ann Lezott
- Stephanie Huth Lipnicki
- Amy Lipput
All providers in Allentown, NJ · Adult Mental Health Clinic/Center in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.