MEDICARE: MR. NACHMAN LAPA LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	44SC05293400	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518025329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NACHMAN LAPA LCSW

Provider Business Mailing Address
First Line	:	500 RIVER AVE
Second Line	:	SUITE 120B
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-4738
Country	:	US
Telephone Number	:	732-552-7081
Fax Number	:	732-370-2636

Provider Business Practice Location Address
First Line	:	500 RIVER AVE
Second Line	:	SUITE 120B
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-4738
Country	:	US
Telephone Number	:	732-552-7081
Fax Number	:	732-370-2636

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	08/05/2010

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