Provider Demographics
NPI:1366926412
Name:LAFEMINA, BRITTANY ASHLEY (LCSW)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ASHLEY
Last Name:LAFEMINA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1706 QUEEN ANNE LN
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-3374
Mailing Address - Country:US
Mailing Address - Phone:917-509-2305
Mailing Address - Fax:
Practice Address - Street 1:1706 QUEEN ANNE LN
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-3374
Practice Address - Country:US
Practice Address - Phone:917-509-2305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-24
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC05934700102L00000X, 101YM0800X, 1041C0700X
NJ44SL06388600104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker