Provider Demographics
NPI:1447579784
Name:LAHM, JOHN ADAM (LMSW)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:ADAM
Last Name:LAHM
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 69TH ST
Mailing Address - Street 2:C4
Mailing Address - City:GUTTENBERG
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-4436
Mailing Address - Country:US
Mailing Address - Phone:201-615-8553
Mailing Address - Fax:
Practice Address - Street 1:22 69TH ST
Practice Address - Street 2:C4
Practice Address - City:GUTTENBERG
Practice Address - State:NJ
Practice Address - Zip Code:07093-4436
Practice Address - Country:US
Practice Address - Phone:201-615-8553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY72 065724104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker