Provider Demographics
NPI:1285800516
Name:LANZONE, JOSEPH PETER JR (LCSWR, CASAC)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:PETER
Last Name:LANZONE
Suffix:JR
Gender:M
Credentials:LCSWR, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:7 ELMWOOD DR STE M-C
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-5136
Mailing Address - Country:US
Mailing Address - Phone:845-639-0847
Mailing Address - Fax:845-627-1121
Practice Address - Street 1:7 ELMWOOD DR STE M-C
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-5136
Practice Address - Country:US
Practice Address - Phone:845-639-0847
Practice Address - Fax:845-627-1121
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8374101YA0400X
NYR036948-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)