Provider Demographics
NPI:1083873319
Name:LAWLER, RITA MARIE (LCSW)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:MARIE
Last Name:LAWLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:07419-1307
Mailing Address - Country:US
Mailing Address - Phone:973-534-6369
Mailing Address - Fax:
Practice Address - Street 1:98 HILLSIDE DR
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NJ
Practice Address - Zip Code:07419-1307
Practice Address - Country:US
Practice Address - Phone:973-534-6369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053583001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical