Ms. Philadelphia J Prokop, LCSW/LCADC
Counselor, Addiction (Substance Use Disorder) in Lyndhurst, New Jersey
1255591129- Practice location
- 516 Valley Brook Ave, Lyndhurst, NJ 07071-1930
- Phone
- 201-935-3322
- Fax
- —
- Last updated
- June 13, 2008
Philadelphia Jeane Prokop is a Counselor, Addiction (Substance Use Disorder) based in Lyndhurst, NJ. Philadelphia Jeane Prokop practices in Lyndhurst, NJ and has the professional credentials of LCSW/LCADC. The NPI Number for Philadelphia Jeane Prokop is 1255591129 and holds a License No. 37LC00121400 (NJ). The current practice location address for Philadelphia Jeane Prokop is 516 Valley Brook Ave, Lyndhurst, NJ 07071-1930 and can be reached out via phone at 201-935-3322.
Provider Profile Details
- NPI Number
- 1255591129
- Provider Name
- Philadelphia Jeane Prokop
- Credential
- LCSW/LCADC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 516 Valley Brook Ave, Lyndhurst, NJ 07071-1930
- Phone Number
- 201-935-3322
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 13, 2008
- Last Update Date
- June 13, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 516 Valley Brook Ave
Lyndhurst, NJ 07071-1930 - City
- Lyndhurst
- State
- New Jersey
- Zip
- 07071-1930
- Phone Number
- 201-935-3322
Provider Business Mailing Address Details
- Address
- 14 Rainbow Ter
West Orange, NJ 07052-5023 - City
- West Orange
- State
- NJ
- Zip
- 07052-5023
- Phone Number
- 973-325-0870
License Information
- License Number (1)
- 37LC00121400
- License State (1)
- NJ
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
- License Number (2)
- 44SC05363800
- License State (2)
- NJ
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Philadelphia J Prokop, LCSW/LCADC?
The NPI number of Ms. Philadelphia J Prokop, LCSW/LCADC is 1255591129. It was assigned on June 13, 2008 and is currently active in the NPPES registry.
What is the specialty of Ms. Philadelphia J Prokop, LCSW/LCADC?
Ms. Philadelphia J Prokop, LCSW/LCADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NJ under license number 37LC00121400.
Where does Ms. Philadelphia J Prokop, LCSW/LCADC practice?
The practice location is 516 Valley Brook Ave, Lyndhurst, NJ 07071-1930. The office can be reached at 201-935-3322 (phone).
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 1255591129 directly on the NPPES registry website.