Provider Demographics
NPI:1184832453
Name:LEHMANN, ELIZABETH E (LCSW)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:E
Last Name:LEHMANN
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 1:1189 LAKESIDE DR E
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07422-1903
Mailing Address - Country:US
Mailing Address - Phone:973-764-7787
Mailing Address - Fax:
Practice Address - Street 1:777 W END AVE
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5551
Practice Address - Country:US
Practice Address - Phone:212-864-0684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0479471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN0M391Medicare ID - Type UnspecifiedMEDICARE PART B