Provider Demographics
NPI:1376730879
Name:LOZANO NELSON, SHIRLEY J (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:SHIRLEY
Middle Name:J
Last Name:LOZANO NELSON
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 SHINNECOCK HILLS CT
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-5014
Mailing Address - Country:US
Mailing Address - Phone:732-330-2992
Mailing Address - Fax:732-719-6923
Practice Address - Street 1:504 ALDRICH RD STE 1A
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-1978
Practice Address - Country:US
Practice Address - Phone:732-330-2992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-27
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC055315001041C0700X
NJ565494-6459081041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool