Doctor Name: | MICHELLE ANN LODATO |
NPI Number: | 1205074465 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LSW |
License Number: | 44SL05531300 |
Business Practice Address: | 390 Main Road Montville, NJ - 07045 |
Business Phone Number: | 9733169333 |
Business Fax Number: | 9733165790 |
Mailing Address: | P.o. Box 336, 21 Evans Place POMPTON PLAINS |
State: | NJ |
Postal Code: | 07444 |
Phone Number: | 9738392520 |
Fax Number: | 9736160447 |
NPI Enumeration Date: | 01/27/2009 |
NPI Last Update Date: | 01/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SL05531300 |
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 |