SUSAN R SPORN LAC
NPI 1639940497
Counselor - Mental Health in Lakewood, NJ

Q: What is Susan Sporn's NPI number?

The NPI number for Susan Sporn is 1639940497. It was assigned to this individual provider in the NPPES registry on January 11, 2024. The provider is also known as Mrs. Susan R Tepper Lac.

Q: What is Susan Sporn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Susan Sporn was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 11, 2024

139 OCEAN AVE STE 1B, LAKEWOOD, NJ 08701(848) 245-5359 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Susan R Sporn Lac NPPES

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

SUSAN R SPORN LAC (NPI 1639940497) is an individual mental health provider in Lakewood, New Jersey, licensed in New Jersey (37AC00599000) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1639940497

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSUSAN R SPORNCredential: LAC

Location Address139 OCEAN AVE STE 1BLakewood, NJ 08701-3668

Mailing Address9 Mimosa CtJackson, NJ 08527-1239 · (917) 596-3050

Phone(848) 245-5359

Sole ProprietorNo

Enumeration DateJanuary 11, 2024

NPPES CertifiedJanuary 10, 2024

✔ NPI 1639940497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NJ · 37AC00599000

139 OCEAN AVE STE 1B, Lakewood, NJ 08701

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Other Names 1

Professional Name (2)Mrs. Susan R Tepper Lac

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 Susan Sporn's NPI number?

The NPI number for Susan Sporn is 1639940497. It was assigned to this individual provider in the NPPES registry on January 11, 2024. The provider is also known as Mrs. Susan R Tepper Lac.

Where is Susan Sporn located?

Susan Sporn practices at 139 Ocean Ave Ste 1B, Lakewood, NJ 08701. The listed phone number is (848) 245-5359.

What is Susan Sporn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Susan Sporn was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.