Provider Demographics
NPI:1710309125
Name:LORIGAN, STEPHEN (LCSW, LLC)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:LORIGAN
Suffix:
Gender:M
Credentials:LCSW, LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 KINDERKAMACK RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649-1525
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:660 KINDERKAMACK RD
Practice Address - Street 2:SUITE 206
Practice Address - City:ORADELL
Practice Address - State:NJ
Practice Address - Zip Code:07649-1525
Practice Address - Country:US
Practice Address - Phone:201-590-4919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-20
Last Update Date:2017-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052620001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical