Provider Demographics
NPI:1841800794
Name:LEWIN, LATOYA (LCSW)
Entity Type:Individual
Prefix:
First Name:LATOYA
Middle Name:
Last Name:LEWIN
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 1:180 TALMAGE ROAD
Mailing Address - Street 2:IGO BLDG SUITE #771
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817
Mailing Address - Country:US
Mailing Address - Phone:716-795-6443
Mailing Address - Fax:
Practice Address - Street 1:180 TALMADGE ROAD
Practice Address - Street 2:IGO BUILDING, SUITE 771
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-0881
Practice Address - Country:US
Practice Address - Phone:716-795-6443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC059096001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical