Provider Demographics
NPI:1801977178
Name:MAAS, LYNN M (MSW)
Entity type:Individual
Prefix:MS
First Name:LYNN
Middle Name:M
Last Name:MAAS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 NINO CT
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-2066
Mailing Address - Country:US
Mailing Address - Phone:973-773-1147
Mailing Address - Fax:973-759-2689
Practice Address - Street 1:13 NINO CT
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2066
Practice Address - Country:US
Practice Address - Phone:973-773-1147
Practice Address - Fax:973-759-2689
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC462281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical