MR. MICHAEL PAUL LEPAK L.C.S.W.
NPI 1063667384
Social Worker - Clinical in Montclair, NJ

Active since December 01, 2008Opted out of Medicare · through Apr 1, 2027
103 PARK ST, SUITE 2A, MONTCLAIR, NJ 07042(973) 380-9381 Get Directions Write a Review

NPPES record last updated: December 1, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Michael Paul Lepak L.c.s.w. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL PAUL LEPAK L.C.S.W. (NPI 1063667384) is an individual clinical provider in Montclair, New Jersey, licensed in New Jersey (44SC05311100) and active in the NPI registry since December 2008. He has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1063667384
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MICHAEL PAUL LEPAKCredential: L.C.S.W.
Location Address103 PARK ST, SUITE 2AMontclair, NJ 07042-5913
Mailing Address103 Park St, Suite 2aMontclair, NJ 07042-5913 · (973) 380-9381
Sole ProprietorYes
Enumeration DateDecember 1, 2008
NPI 1063667384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NJ · 44SC05311100
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.

103 PARK ST, Montclair, NJ 07042

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mr. Michael Paul Lepak L.c.s.w. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2021 through April 1, 2027.

Opt-Out Effective DateApril 1, 2021
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
103 PARK ST, 2B
MONTCLAIR, NJ 07042
Optometrist
103 PARK ST
MONTCLAIR, NJ 07042
Psychologist (Clinical)
103 PARK ST, 3RD FLOOR
MONTCLAIR, NJ 07042
Psychologist (Counseling)
103 PARK ST, SUITE 2A
MONTCLAIR, NJ 07042
Psychologist (Clinical)
103 PARK ST, SUITE 4
MONTCLAIR, NJ 07042
Orthopaedic Surgery (Hand Surgery)
103 PARK ST, SUITE #1G
MONTCLAIR, NJ 07042
Counselor (Professional)
103 PARK ST, SUITE 2A
MONTCLAIR, NJ 07042
Psychiatry & Neurology (Child & Adolescent Psychiatry)
103 PARK ST, SUITE 1A
MONTCLAIR, NJ 07042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Lepak's NPI number?

The NPI number for Michael Lepak is 1063667384. It was assigned to this individual provider in the NPPES registry on December 1, 2008.

Where is Michael Lepak located?

Michael Lepak practices at 103 Park St Suite 2A, Montclair, NJ 07042. The listed phone number is (973) 380-9381.

What is Michael Lepak's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Michael Lepak enrolled in Medicare?

No. Michael Lepak has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Michael Lepak was last updated on December 1, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.