Individual provider · Type 1 NPI

Lisa Ann Pro-Menner, MSW

Clinical Social Worker · Fair Lawn, NJ

NPI number 1306058631 Active

Practice location

22-08 State Rt 208, Ste 16
Fair Lawn, NJ 07410-2609

Fax (201) 956-6026

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC05191700 (NJ)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1306058631

Lisa Ann Pro-Menner, MSW's National Provider Identifier is 1306058631, issued on May 7, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fair Lawn, NJ. The record was last updated on Jul 8, 2007.