Lantern'S Light Counseling Services
Organization Active NPI Clinical Social Worker · Pitman, NJ
NPI 1982207361 · NPPES record last updated Dec 10, 2024
Key facts
- NPI
- 1982207361
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- LANTERN'S LIGHT COUNSELING SERVICES
- Practice address
- 72 E Holly Ave Ste 107
Pitman, NJ 08071-1197 - Phone
- (856) 818-4477
- Fax
- (856) 818-4477
- NPI assigned
- Nov 18, 2020
- Organization subpart
- No
Authorized official
- Name
- Christopher Ian Fritzsche, LCSW
- Title
- Owner
- Phone
- (844) 365-7676
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201215002415 | NJ | Part B Supplier - Clinic/Group Practice | 8729490768 |
Receives reassigned benefits from 1 practitioner Practice locations: Pitman, NJ |
National Provider Directory
Locations
72 E Holly Ave
Ste 107
Pitman, NJ 08071
Phone (609) 420-6849
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
72 E Holly Ave Ste 107
Pitman, NJ 08071-1197
Mailing address
72 E Holly Ave Ste 107
Pitman, NJ 08071-1197
Phone (856) 818-4477
Other providers in Pitman, NJ
- Jodi M Kent Green
- Richard Thomas Kowalski
- Stephen J Kravchuck
- Krystle Clear Counseling, LLC
- La Perle Psychotherapy
- Lasting Changes, LLC
- Brian Lehrer
- Krystle Lind
- Dana Long
- Stuart Allan Lynd Jr.
All providers in Pitman, NJ · Clinical Social Worker 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 Dec 10, 2024. 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.