NPI 1265966428 · live from the CMS NPI Registry
Gregory Marc Ackerman, LCSW
Social Worker, Clinical in Lakeville, PA. National Provider Identifier 1265966428, active.
NPI record
| NPI | 1265966428 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1258 Purdytown Tpke, Lakeville, PA 18438 |
| Practice phone | 570-209-9569 |
| Mailing address | 1140 Dogwood Ln, Bushkill, PA 18324 |
| Enumerated | April 14, 2017 |
| Last updated | February 26, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | LC200003487 (DC) |
| Social Worker, Clinical | 1041C0700X | 44SL05905600 (NJ) |
| Social Worker, Clinical primary | 1041C0700X | CW024635 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.