Provider Demographics
NPI:1720144868
Name:LAFORGIA, DENISE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:
Last Name:LAFORGIA
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 1:60 LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:MIDLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07432-1943
Mailing Address - Country:US
Mailing Address - Phone:201-445-5125
Mailing Address - Fax:
Practice Address - Street 1:60 LAKE AVE
Practice Address - Street 2:
Practice Address - City:MIDLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07432-1943
Practice Address - Country:US
Practice Address - Phone:201-445-5125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052257001041C0700X
NY0730531041C0700X
NJ5412201041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool