1669922761 NPI number — CHERYL A. LEMANSKI, M.S.W., L.C.S.W AND ASSOCIATES

Table of content: (NPI 1669922761)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669922761 NPI number — CHERYL A. LEMANSKI, M.S.W., L.C.S.W AND ASSOCIATES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHERYL A. LEMANSKI, M.S.W., L.C.S.W AND ASSOCIATES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669922761
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/12/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
44 PRINCETON AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BRICK
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08724-3550
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-267-2950
Provider Business Mailing Address Fax Number:
866-267-2485

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
44 PRINCETON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRICK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08724-3550
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-267-2950
Provider Business Practice Location Address Fax Number:
866-267-2485
Provider Enumeration Date:
10/12/2016

Additional Information

Authorized Official

Authorized Official Last Name:
LEMANSKI
Authorized Official First Name:
CHERYL
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PROPRIETOR
Authorized Official Telephone Number:
732-267-2950

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  44SC04617700 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1041C0700X , with the licence number: 44SC05199000 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0018635 . This is a "UNISYS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 272387 . This is a "MHN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 478424 . This is a "VALUE OPTIIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: P2948410 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 36949 . This is a "UNIVERSITY HEALTH PLAN" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 223527714 . This is a "MAGELLAN BEHAVIORAL HEALTH (HORIZON )" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 223427714 . This is a "EMPIRE BC/BS" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 546899000 . This is a "MAGELLAN BH" identifier . This identifiers is of the category "OTHER".




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