Doctor Name: | MR. GERARD M LAGOS |
NPI Number: | 1760676225 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 44SC04583300 |
Business Practice Address: | 886 Belmont Ave North Haledon, NJ - 075082573 |
Business Phone Number: | 9734233983 |
Business Fax Number: | 2014858241 |
Mailing Address: | 886 Belmont Ave, NORTH HALEDON |
State: | NJ |
Postal Code: | 075082573 |
Phone Number: | 9734233983 |
Fax Number: | 2014858241 |
NPI Enumeration Date: | 08/28/2007 |
NPI Last Update Date: | 08/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC04583300 |
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 |