Provider Demographics
NPI:1316037260
Name:HANKO, LAWRENCE A (MSED, MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:A
Last Name:HANKO
Suffix:
Gender:M
Credentials:MSED, MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08882-1450
Mailing Address - Country:US
Mailing Address - Phone:732-254-0834
Mailing Address - Fax:
Practice Address - Street 1:1 HIGH POINT CENTER WAY
Practice Address - Street 2:
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-4213
Practice Address - Country:US
Practice Address - Phone:732-591-1750
Practice Address - Fax:732-591-0513
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC005201001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical