Siroti, Lisa Dale
Siroti, Lisa Dale is an sole proprietor health care provider with primary practice located at 1 Beechwood Ter , Matawan NJ 07747-3001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Siroti, Lisa Dale can be contacted via phone (732) 770-0428.Contact Information
Primary practice address
1 Beechwood Ter
Matawan NJ 07747-3001
Phone: (732) 770-0428
Fax: (732) 583-2412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC05262800 | New Jersey |
Profile Details
| NPI number | 1669685053 |
|---|---|
| LBN Legal business name | Siroti, Lisa Dale |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669685053 | NPPES |
| New Jersey | MEDICAID | 0091723 |
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