Provider Demographics
NPI:1609148576
Name:LEWINTER, BETH C (LCSW)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:C
Last Name:LEWINTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 BLOOMFIELD AVE
Mailing Address - Street 2:STE 2C
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012-2131
Mailing Address - Country:US
Mailing Address - Phone:973-591-1121
Mailing Address - Fax:
Practice Address - Street 1:1051 BLOOMFIELD AVE
Practice Address - Street 2:STE 2C
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07012-2131
Practice Address - Country:US
Practice Address - Phone:973-591-1121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-07
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC01462201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ085068Medicare UPIN