Provider Demographics
NPI:1497135966
Name:LISA ESTRIN, LCSW
Entity Type:Organization
Organization Name:LISA ESTRIN, LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTRIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:201-327-0005
Mailing Address - Street 1:70 HILLTOP RD
Mailing Address - Street 2:SUITE 1004
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-1155
Mailing Address - Country:US
Mailing Address - Phone:201-327-0005
Mailing Address - Fax:774-237-0221
Practice Address - Street 1:70 HILLTOP RD
Practice Address - Street 2:SUITE 1004
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-1155
Practice Address - Country:US
Practice Address - Phone:201-327-0005
Practice Address - Fax:774-237-0221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-31
Last Update Date:2015-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC001248001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty