Provider Demographics
NPI:1326382581
Name:LUGO, JOVANKA GEORGETTE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JOVANKA
Middle Name:GEORGETTE
Last Name:LUGO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:JOVANKA
Other - Middle Name:GEORGETTE
Other - Last Name:MENA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1938 W WHITEHALL ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-3766
Mailing Address - Country:US
Mailing Address - Phone:484-951-6039
Mailing Address - Fax:
Practice Address - Street 1:801 E GREEN ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18109-1825
Practice Address - Country:US
Practice Address - Phone:610-799-8910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-11
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW1283471041C0700X
PACW0195671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical