Provider Demographics
NPI:1437216447
Name:PAGANO, LEWIS C (LPC)
Entity Type:Individual
Prefix:MR
First Name:LEWIS
Middle Name:C
Last Name:PAGANO
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 ROOSEVELT PL
Mailing Address - Street 2:B-2
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-6307
Mailing Address - Country:US
Mailing Address - Phone:973-744-5571
Mailing Address - Fax:973-744-3088
Practice Address - Street 1:5 ROOSEVELT PL
Practice Address - Street 2:B-2
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-6307
Practice Address - Country:US
Practice Address - Phone:973-744-5571
Practice Address - Fax:973-744-3088
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00193600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional