Michelle L Fumosa, LCADC, ICADC, CCS
Counselor, Addiction (Substance Use Disorder) in Bloomfield, New Jersey
1306596093- Practice location
- 222 Memorial Pkwy, Bloomfield, NJ 07003-4261
- Phone
- 973-534-4923
- Fax
- —
- Last updated
- July 19, 2023
Michelle Lynn Fumosa is a Counselor, Addiction (Substance Use Disorder) based in Bloomfield, NJ. Michelle Lynn Fumosa practices in Bloomfield, NJ and has the professional credentials of LCADC, ICADC, CCS. The NPI Number for Michelle Lynn Fumosa is 1306596093 and holds a License No. 37LC00311700 (NJ). The current practice location address for Michelle Lynn Fumosa is 222 Memorial Pkwy, Bloomfield, NJ 07003-4261 and can be reached out via phone at 973-534-4923.
Provider Profile Details
- NPI Number
- 1306596093
- Provider Name
- Michelle Lynn Fumosa
- Credential
- LCADC, ICADC, CCS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 222 Memorial Pkwy, Bloomfield, NJ 07003-4261
- Phone Number
- 973-534-4923
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 25, 2022
- Last Update Date
- July 19, 2023
- Certification Date
- July 19, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 222 Memorial Pkwy
Bloomfield, NJ 07003-4261 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-4261
- Phone Number
- 973-534-4923
Provider Business Mailing Address Details
- Address
- 222 Memorial Pkwy
Bloomfield, NJ 07003-4261 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-4261
- Phone Number
- 735-344-9239
License Information
- License Number
- 37LC00311700
- License State
- NJ
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Addiction (Substance Use Disorder) providers near Bloomfield, NJ
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Frequently Asked Questions
What is the NPI number of Michelle L Fumosa, LCADC, ICADC, CCS?
The NPI number of Michelle L Fumosa, LCADC, ICADC, CCS is 1306596093. It was assigned on March 25, 2022 and is currently active in the NPPES registry.
What is the specialty of Michelle L Fumosa, LCADC, ICADC, CCS?
Michelle L Fumosa, LCADC, ICADC, CCS is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NJ under license number 37LC00311700.
Where does Michelle L Fumosa, LCADC, ICADC, CCS practice?
The practice location is 222 Memorial Pkwy, Bloomfield, NJ 07003-4261. The office can be reached at 973-534-4923 (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 1306596093 directly on the NPPES registry website.