Provider Demographics
NPI:1053433722
Name:MICHALOWSKI, DENISE MARIE (LCSW, LCADC)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:MARIE
Last Name:MICHALOWSKI
Suffix:
Gender:F
Credentials:LCSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07801-3733
Mailing Address - Country:US
Mailing Address - Phone:973-229-3198
Mailing Address - Fax:862-209-1106
Practice Address - Street 1:159 E MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:ROCKAWAY
Practice Address - State:NJ
Practice Address - Zip Code:07866-3507
Practice Address - Country:US
Practice Address - Phone:973-229-3198
Practice Address - Fax:862-209-1106
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00129100101YA0400X
NJ44SC00180700101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)