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NPI Code Detail

MEDICARE: MS. LOIS CORWIN LCSW

MEDICARE: MS. LOIS CORWIN 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
11041C0700XClinical Social WorkerSC51795NJ

Other Identifiers

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

General Provider Information

NPI Number : 1548372188
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LOIS CORWIN LCSW
Provider Business Mailing Address
First Line : 93 W PALISADE AVE
Second Line :
City : ENGLEWOOD
State : NJ
Zip : 07631-2611
Country : US
Telephone Number : 201-567-0500
Fax Number : 201-567-9335
Provider Business Practice Location Address
First Line : 2 PARK AVE
Second Line :
City : DUMONT
State : NJ
Zip : 07628-3004
Country : US
Telephone Number : 201-385-4400
Fax Number : 201-384-7067
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 12/20/2013

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Directions to “ MS. LOIS CORWIN LCSW” Practice Location

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