Provider Demographics
NPI:1154796852
Name:CURTIS, LISA (LCSW)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:
Last Name:CURTIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 385
Mailing Address - Street 2:
Mailing Address - City:NAVESINK
Mailing Address - State:NJ
Mailing Address - Zip Code:07752
Mailing Address - Country:US
Mailing Address - Phone:732-872-8882
Mailing Address - Fax:732-872-7540
Practice Address - Street 1:20 CENTER AVE, SUITE 2
Practice Address - Street 2:
Practice Address - City:ATLANTIC HIGHLANDS
Practice Address - State:NJ
Practice Address - Zip Code:07716
Practice Address - Country:US
Practice Address - Phone:732-872-8882
Practice Address - Fax:732-872-7540
Is Sole Proprietor?:No
Enumeration Date:2015-12-07
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC003330001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical