Provider Demographics
NPI:1003700501
Name:FELIZ MACARIO, LAURA MARIA (LMSW)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MARIA
Last Name:FELIZ MACARIO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07071-1633
Mailing Address - Country:US
Mailing Address - Phone:862-591-4728
Mailing Address - Fax:
Practice Address - Street 1:223 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:NJ
Practice Address - Zip Code:07071-1633
Practice Address - Country:US
Practice Address - Phone:862-591-4728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-07
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL07220300104100000X
NY125936104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker