Provider Demographics
NPI:1871191759
Name:EISENBRAND, LYNNE MARGARET (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:LYNNE
Middle Name:MARGARET
Last Name:EISENBRAND
Suffix:
Gender:
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:LYNNE EISENBRAND
Other - Middle Name:
Other - Last Name:PSYCHOTHERAPIST
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:72 WATCHUNG AVE
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07043-1348
Mailing Address - Country:US
Mailing Address - Phone:917-371-1494
Mailing Address - Fax:646-655-0722
Practice Address - Street 1:48 WALNUT CRES
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-4918
Practice Address - Country:US
Practice Address - Phone:917-371-1494
Practice Address - Fax:646-655-0722
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-13
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC055509001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical