Whalio Doctors

NPI 1023523529

Lisa Rose McDermott, LSWLCADC

Practitioner Social Worker Elizabeth, NJ

Practice location

Address
654 E Jersey St, Elizabeth, NJ 07206-1261
Phone
(908) 994-7552
Fax
(908) 994-7554
Mailing address
24 Borelle Sq, Parlin, NJ 08859-2302

Registered specialties (2)

Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 44SL05930500 (NJ)
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 37LC00233400 (NJ)

Registry record

NPI
1023523529
Entity type
Individual
Sex (as registered)
Female
NPI issued
6 Dec 2017
Record last updated
6 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.