Organization Name: | LAURIE ENGEL LLC |
NPI Number: | 1053729780 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURIE ENGEL (OWNER) |
Mailing Address: | 212 W Route 38 Suite 200 Moorestown |
State: | NJ US |
Postal Code: | 080573238 |
Phone Number: | 8563202821 |
Fax Number: | 8562107272 |
NPI Enumeration Date: | 07/25/2014 |
NPI Last Update Date: | 08/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05252200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |