Provider Demographics
NPI:1487779161
Name:MAIORANO, MICHAEL LEWIS (LCSW)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:LEWIS
Last Name:MAIORANO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 HONEYSUCKLE RD
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19362-9000
Mailing Address - Country:US
Mailing Address - Phone:717-548-2333
Mailing Address - Fax:
Practice Address - Street 1:601 S BLACK HORSE PIKE
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08094-1837
Practice Address - Country:US
Practice Address - Phone:856-728-0404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SCO13356001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4476590OtherAETNA BEHAVIORAL HEALTH
NJ0728549000OtherAMERIHEALTH PPO
NJ00166449100OtherINDEPENDENCE BC BS