MEDICARE: DR. LISA MARCELINO MA, PHD, LMFT

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	106H00000X	Marriage & Family Therapist	37FI00216100	NJ
2	106H00000X	Marriage & Family Therapist	MFT-842	HI

General Provider Information

NPI Number	:	1083145270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISA MARCELINO MA, PHD, LMFT

Provider Business Mailing Address
First Line	:	3010 BORDENTOWN AVE STE B5
Second Line	:
City	:	PARLIN
State	:	NJ
Zip	:	08859-1181
Country	:	US
Telephone Number	:	732-401-5040
Fax Number	:

Provider Business Practice Location Address
First Line	:	3010 BORDENTOWN AVE STE B5
Second Line	:
City	:	PARLIN
State	:	NJ
Zip	:	08859-1181
Country	:	US
Telephone Number	:	732-401-5040
Fax Number	:

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

Provider Enumeration Date	:	03/21/2017
Last Update Date	:	09/14/2025

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