Lance Stern

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SL05786900 Issued in NJ

Practice address

39 Howard St
Wyckoff, NJ 07481-3328

Phone

(551) 486-2522

NPI assigned

Feb 3, 2015

Sex

Male

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Jersey Psychodynamics LLC

  • Community/Behavioral Health Agency
  • Wyckoff, NJ
  • NPI 1942753066
  NPD (past) Authorized official

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1881084499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 KINDERKAMACK RD",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561332",
            "telephone_number": "201-391-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 HOWARD ST",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074813328",
            "telephone_number": "551-486-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "LANCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL05786900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Staller, LCSW
• Mark A. Stansfield, PA-C
• Tanvi S. Stansfield, PA-C
• Renee Remy Stefanacci, MA-SLP, CCC
• Frederick Steinberg, MD
• Lauren J Sterrantino, RPH
• Steven Hutt, DDS, PA
• Talia Miriam Stone
• Debra Strauss, LPC
• Pavel Straznicky, MD

• Clinical Social Worker in Wyckoff, NJ
• Providers in Wyckoff, 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 Feb 3, 2015; 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.