Individual provider · Type 1 NPI

George Louis Lafountain Jr., MSW LCSW

Clinical Social Worker · Ridgewood, NJ

NPI number 1477562023 Active

Practice location

65 N Maple Ave, #208
Ridgewood, NJ 07450

Call (201) 444-4228 Map

Fax (973) 667-8147

Mailing address

12 Newman Ave
Nutley, NJ 07110-2126

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC00150900 (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 1477562023

George Louis Lafountain Jr., MSW LCSW's National Provider Identifier is 1477562023, issued on Aug 5, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ridgewood, NJ. The record was last updated on Jul 8, 2007.