Healthcare Provider Details

I. General information

NPI: 1578064929
Provider Name (Legal Business Name): LUCILA ESQUIVEL LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2018
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 MAIN ST STE 100-246
METUCHEN NJ
08840-1846
US

IV. Provider business mailing address

402 MAIN ST STE 100-246
METUCHEN NJ
08840-1846
US

V. Phone/Fax

Practice location:
  • Phone: 732-398-5980
  • Fax:
Mailing address:
  • Phone: 732-398-5980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number37FI00260800
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0717002003
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number135373
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: