Active NPIIndividual providerSole proprietor

Kysha Underwood, LCADC

Counselor, Addiction (Substance Use Disorder) in Sicklerville, New Jersey

NPI Number1366236788
Practice location
24 Colts Neck Dr, Sicklerville, NJ 08081-5644
Fax
—
Last updated
April 9, 2025

Kysha Underwood is a Counselor, Addiction (Substance Use Disorder) based in Sicklerville, NJ. Kysha Underwood practices in Sicklerville, NJ and has the professional credentials of LCADC. The NPI Number for Kysha Underwood is 1366236788 and holds a License No. 37LC00288500 (NJ). The current practice location address for Kysha Underwood is 24 Colts Neck Dr, Sicklerville, NJ 08081-5644 and can be reached out via phone at 856-383-9359.

Provider Profile Details

NPI Number
1366236788
Provider Name
Kysha Underwood
Credential
LCADC
Provider Entity Type
Individual
Address
24 Colts Neck Dr, Sicklerville, NJ 08081-5644
Phone Number
856-383-9359
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
April 9, 2025
Last Update Date
April 9, 2025
Certification Date
April 9, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Colts Neck Dr
Sicklerville, NJ 08081-5644
Zip
08081-5644
Phone Number
856-383-9359
Sicklerville, NJ 08081Get directions →

Provider Business Mailing Address Details

Address
24 Colts Neck Dr
Sicklerville, NJ 08081-5644
City
Sicklerville
State
NJ
Zip
08081-5644
Phone Number
856-383-9359

License Information

License Number
37LC00288500
License State
NJ
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Counselor, Addiction (Substance Use Disorder) providers near Sicklerville, NJ

View all Counselor, Addiction (Substance Use Disorder) providers in Sicklerville →

Frequently Asked Questions

What is the NPI number of Kysha Underwood, LCADC?

The NPI number of Kysha Underwood, LCADC is 1366236788. It was assigned on April 9, 2025 and is currently active in the NPPES registry.

What is the specialty of Kysha Underwood, LCADC?

Kysha Underwood, LCADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NJ under license number 37LC00288500.

Where does Kysha Underwood, LCADC practice?

The practice location is 24 Colts Neck Dr, Sicklerville, NJ 08081-5644. The office can be reached at 856-383-9359 (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 1366236788 directly on the NPPES registry website.

Browse related providers