Provider Demographics
NPI:1104217546
Name:LEKOCEVIC, JOHN (LCSW, CCTP)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:LEKOCEVIC
Suffix:
Gender:M
Credentials:LCSW, CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 NAMI LN STE 1
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-1267
Mailing Address - Country:US
Mailing Address - Phone:609-288-2558
Mailing Address - Fax:
Practice Address - Street 1:20 NAMI LN STE 1
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-1267
Practice Address - Country:US
Practice Address - Phone:609-288-2558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-06
Last Update Date:2022-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker