Mr. James M Destefano, LCSW
Counselor, Mental Health in Fords, New Jersey
1104029099- Practice location
- 720 King George RD, Fords, NJ 08863-1974
- Phone
- 732-738-4209
- Fax
- 732-738-4208
- Last updated
- June 8, 2026
James Michael Destefano is a Counselor, Mental Health based in Fords, NJ. James Michael Destefano practices in Fords, NJ and has the professional credentials of LCSW. The NPI Number for James Michael Destefano is 1104029099 and holds a License No. 44SC05436000 (NJ). The current practice location address for James Michael Destefano is 720 King George RD, Fords, NJ 08863-1974 and can be reached out via phone at 732-738-4209 and via fax at 732-738-4208.
Provider Profile Details
- NPI Number
- 1104029099
- Provider Name
- James Michael Destefano
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 720 King George RD, Fords, NJ 08863-1974
- Phone Number
- 732-738-4209
- Fax Number
- 732-738-4208
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 7, 2007
- Last Update Date
- June 8, 2026
- Certification Date
- June 8, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 720 King George RD
Fords, NJ 08863-1974 - City
- Fords
- State
- New Jersey
- Zip
- 08863-1974
- Phone Number
- 732-738-4209
- Fax Number
- 732-738-4208
Provider Business Mailing Address Details
- Address
- 4 Harbor CT
Monroe Township, NJ 08831-1697 - City
- Monroe Township
- State
- NJ
- Zip
- 08831-1697
- Phone Number
- 732-887-1530
- Fax Number
- 732-521-4448
License Information
- License Number
- 44SC05436000
- License State
- NJ
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Fords, NJ
View all Counselor, Mental Health providers in Fords →Frequently Asked Questions
What is the NPI number of Mr. James M Destefano, LCSW?
The NPI number of Mr. James M Destefano, LCSW is 1104029099. It was assigned on June 7, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. James M Destefano, LCSW?
Mr. James M Destefano, LCSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 44SC05436000.
Where does Mr. James M Destefano, LCSW practice?
The practice location is 720 King George RD, Fords, NJ 08863-1974. The office can be reached at 732-738-4209 (phone) or 732-738-4208 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104029099 directly on the NPPES registry website.