Individual provider · Type 1 NPI

Melinda Lisny, LCSW, LCADC

Addiction (Substance Use Disorder) Counselor · Matawan, NJ

NPI number 1114076668 Active

Practice location

166 Main St
Matawan, NJ 07747-3104

Mailing address

114 Mount Tabor Way
Ocean Grove, NJ 07756-1414

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X37LC00082500 (NJ)
Clinical Social Worker 1041C0700X44SC05265900 (NJ)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114076668

Melinda Lisny, LCSW, LCADC's National Provider Identifier is 1114076668, issued on Jan 10, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Matawan, NJ. The record was last updated on Sep 11, 2025.