Mrs Lisa Rose Mcdermott, LSW, LCADC is a
Social Worker based in Elizabeth, New Jersey. Mrs Lisa Rose Mcdermott is licensed to practice in New Jersey (license number 44SL05930500) and her current practice location is
654 E Jersey St, Elizabeth, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(908) 994-7552.
NPI number for Mrs Lisa Rose Mcdermott is 1023523529 and her current mailing address is 24 Borelle Sq, Parlin, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023523529.
Healthcare Provider's Profile
| Full Name | Mrs Lisa Rose Mcdermott |
|---|
| Gender | Female |
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| Speciality | Social Worker |
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| Location | 654 E Jersey St, Elizabeth, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023523529
- Provider Enumeration Date: 12/06/2017
- Last Update Date: 12/06/2017
Medical Identifiers
Medical identifiers for Mrs Lisa Rose Mcdermott such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023523529 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00233400 (New Jersey) | Secondary |
| 104100000X | Social Worker | 44SL05930500 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lisa Rose Mcdermott is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Lisa Rose Mcdermott, LSW, LCADC
24 Borelle Sq,
Parlin, NJ 08859-2302
Ph: (973) 900-7999 | Mrs Lisa Rose Mcdermott, LSW, LCADC
654 E Jersey St,
Elizabeth, NJ 07206-1261
Ph: (908) 994-7552 |
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