Healthcare Provider Details

I. General information

NPI: 1699564864
Provider Name (Legal Business Name): LAUREN LISA CIOFFI LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 UNIVERSITY PLZ
HACKENSACK NJ
07601-6202
US

IV. Provider business mailing address

192 TERRACE PL
NEW MILFORD NJ
07646-1228
US

V. Phone/Fax

Practice location:
  • Phone: 201-730-2533
  • Fax:
Mailing address:
  • Phone: 201-446-5926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL07110200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: