Provider Demographics
NPI:1114163243
Name:LEPENDORF, LENA MICHELE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:LENA
Middle Name:MICHELE
Last Name:LEPENDORF
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 SHERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-3116
Mailing Address - Country:US
Mailing Address - Phone:201-907-0018
Mailing Address - Fax:
Practice Address - Street 1:343 SHERMAN AVE
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-3116
Practice Address - Country:US
Practice Address - Phone:201-907-0018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-18
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055943-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker