EILEEN C. LUTZ


Address: 65 Mountain Blvd Ext, Warren, NJ 07059-2632
Phone: 7323565665

EILEEN C. LUTZ (NPI# 1750584892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750584892
Entity Type Individual
Full Name EILEEN C. LUTZ
Credential RN,LCSW,LCADC
Practice Address 65 Mountain Blvd Ext
Warren
NJ 07059-2632
Mailing Address 6 Quill Pen Way
Warren
NJ 07059-5518
Practice Telephone 7323565665
Practice Fax Number 7323560507
Mailing Telephone 9086470479
Mailing Fax Number 9086472592
Enumeration Date 2007-06-07
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
44SC00172900 NJ Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ LIC. CLINIC. SOC. WORKER 44SC00172900 01
NJ LIC.CLI.ALCOHOL & DRUG 37LC00120900 01
NJ REGISTERED NURSE NR32823 01

Office Location

Street Address 65 MOUNTAIN BLVD EXT
City WARREN
State NJ
Zip Code 07059-2632

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447212154 August G Salvatore Internal Medicine 65 Mountain Blvd Ext, Ste 209, Warren, NJ 07059 2006-04-06
1811372840 Clark Warren Associates In Internal Medicine Internal Medicine 65 Mountain Blvd Ext, 209, Warren, NJ 07059-2632 2015-07-20
1427175280 Candice Anne Alvarez Social Worker 65 Mountain Blvd Ext, Suite 210, Warren, NJ 07059-2632 2007-03-24
1376678235 Women's Health Care of Warren, Pa Obstetrics & Gynecology 65 Mountain Blvd Ext, Suite 201, Warren, NJ 07059 2007-02-22
1851438261 Optical Associates, LLC Eyewear Supplier (Equipment, not the service) 65 Mountain Blvd Ext, Warren, NJ 07059-2632 2007-02-01
1134287600 The Eye Center Ophthalmology 65 Mountain Blvd Ext, Warren, NJ 07059-2632 2006-12-05
1235200387 George William Lutz Internal Medicine 65 Mountain Blvd Ext, Suite 210, Warren, NJ 07059-2632 2006-11-12
1023192499 Steven S. Forman D.d.s., P.C. Clinic/Center 65 Mountain Blvd Ext, Suite 204, Warren, NJ 07059-2632 2006-10-24
1265546550 Steven Samuel Forman Dentist 65 Mountain Blvd Ext, Suite 204, Warren, NJ 07059-2632 2006-08-17
1326084088 Gerard Fritz Pediatrics 65 Mountain Blvd Ext, Warren, NJ 07059-2632 2006-06-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245680826 Brightview Warren, LLC Alzheimer Center (Dementia Center) 55 Mt. Bethel Road, Warren, NJ 07059 2016-06-15
1245617786 Mt Bethel Day Program LLC Clinic/Center 67 Mountain Blvd, Suite 201, Warren, NJ 07059 2015-05-05
1831509413 Chandana Pande Internal Medicine 34 Moutain Blvd, Warren, NJ 07059 2014-05-05
1740624121 Prakhar Mehrotra Dentist 58 Mount Bethel Rd Ste 202, Warren, NJ 07059 2013-04-29
1558680231 International Healthcare of Nj Specialist 3 Tiffanys Way, Warren, NJ 07059 2010-05-20
1740430495 Danielle Lynnette Neumann Physical Therapist 247 King George Rd, Warren, NJ 07059 2008-09-30
1831358381 Linda Zhang Ophthalmology 65 Mountain Blvd. Ext, Ste. 105, Warren, NJ 07059 2008-06-09
1356515597 Tiffany Lynn Scott Pediatrics 76 Stirling Rd., Suite 201, Warren, NJ 07059 2008-04-18
1710011283 Vincent Frederick Colon Psychiatry & Neurology 161 Washington Valley Road, Suite #206, Warren, NJ 07059 2007-03-15
1972666089 Kwei Ping Shen Kwei Dentist 108 Mt Bethel Rd, Warren, NJ 07059 2006-12-19
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679188924 Amanda Rubio Social Worker 20 Brownell St, Warren, RI 02885-1525 2020-09-14
1265069082 Tellecia Nasha Wiggins Social Worker 13807 Martin Rd, Warren, MI 48088-6325 2020-03-23
1528541984 Undercurrent Behavioral Health LLC Social Worker 12500 E 13 Mile Rd, Warren, MI 48093-5011 2018-09-12
1770071201 Tacara Lakaisha Woods Social Worker 23543 Bolam Ave, Warren, MI 48089-2232 2018-04-30
1730686197 Lambro Seremetis Social Worker 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 2018-04-11
1740790625 Steven Potje Social Worker 7177 Miller Dr Ste C, Warren, MI 48092-1699 2017-10-05
1225554082 Michigan Adult Services 1 Social Worker 28673 Hoover Rd, Warren, MI 48093-4105 2017-08-14
1437675220 Rana Shaia Social Worker 12200 E 13 Mile Rd # 200, Warren, MI 48093-3093 2017-08-14
1982134052 Connell Joseph Rooney Social Worker 8 Angus Ln, Warren, NJ 07059-6739 2017-06-12
1972030278 Elizabeth Ann Oaks Social Worker 8600 E Market St Ste 8, Warren, OH 44484-2375 2017-05-17
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Competitor

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City WARREN
Zip Code 07059

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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