Provider Demographics
NPI:1366882771
Name:LOMBARDO, BRANDYCE ALEXSIS (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:BRANDYCE
Middle Name:ALEXSIS
Last Name:LOMBARDO
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 CORONET CT
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-1928
Mailing Address - Country:US
Mailing Address - Phone:908-229-2471
Mailing Address - Fax:
Practice Address - Street 1:5 CORONET CT
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-1928
Practice Address - Country:US
Practice Address - Phone:908-229-2471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-29
Last Update Date:2013-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC055473001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical