Provider Demographics
NPI:1568421238
Name:COSMANO, LEWIS (LCSW)
Entity Type:Individual
Prefix:MR
First Name:LEWIS
Middle Name:
Last Name:COSMANO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-2656
Mailing Address - Country:US
Mailing Address - Phone:973-478-4360
Mailing Address - Fax:973-478-6039
Practice Address - Street 1:238 2ND ST
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-2656
Practice Address - Country:US
Practice Address - Phone:973-478-4360
Practice Address - Fax:973-478-6039
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC001574001041C0700X
NYPRO29397-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ112768000OtherMAGELLAN
NY112768000OtherNY MAGELLAN
NY7496493OtherNY-GHI-BMP
NJPVB78851OtherAPS HEALTHCARE
NJ0004341394OtherAETNA
NJ44SC00157400OtherLICENCED CLINICAL SWER
NJ7496493OtherGHI-BMP
NYN8D51OtherBLUE CROSS & BLUE SHIELD
NJN99971OtherBLUE CROSS & BLUE SHIELD
NYPRO29397OtherCLINICAL SOCIAL WORKER
NJPVB78851OtherAPS HEALTHCARE
NY7496493OtherNY-GHI-BMP