Healthcare Provider Details

I. General information

NPI: 1669520870
Provider Name (Legal Business Name): GERALDINE LANCIERI MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 WOOD ST
BURLINGTON NJ
08016-4513
US

IV. Provider business mailing address

1023 JACKSONVILLE RD
BURLINGTON NJ
08016-3801
US

V. Phone/Fax

Practice location:
  • Phone: 609-351-9125
  • Fax: 346-636-4479
Mailing address:
  • Phone: 609-351-9125
  • Fax: 346-636-4479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00322200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: