Provider Demographics
NPI:1093948549
Name:LYNNE PASTOR, LCSW,LLC
Entity Type:Organization
Organization Name:LYNNE PASTOR, LCSW,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PASTOR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LLC
Authorized Official - Phone:973-584-3020
Mailing Address - Street 1:54 MAIN ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SUCCASUNNA
Mailing Address - State:NJ
Mailing Address - Zip Code:07876-1400
Mailing Address - Country:US
Mailing Address - Phone:973-584-3020
Mailing Address - Fax:973-598-9296
Practice Address - Street 1:54 MAIN ST
Practice Address - Street 2:SUITE 202
Practice Address - City:SUCCASUNNA
Practice Address - State:NJ
Practice Address - Zip Code:07876-1400
Practice Address - Country:US
Practice Address - Phone:973-584-3020
Practice Address - Fax:973-598-9296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC050150001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty