Mr. Henry Duane Hamilton I, LCADC,ICADC,CAMF
Addiction (Substance Use Disorder) Counselor in East Orange, New Jersey
NPI 1366685554
Henry Duane Hamilton I is an Addiction (Substance Use Disorder) Counselor based in East Orange, NJ and is specialized in Addiction (Substance Use Disorder). Henry Duane Hamilton I practices in East Orange, NJ and has the professional credentials of LCADC,ICADC,CAMF. The NPI Number for Henry Duane Hamilton I is 1366685554 and holds a License No. 37LC00118000 (New Jersey).
The current practice location address for Henry Duane Hamilton I is 60 Evergreen Pl Ste 200&904, East Orange, NJ and can be reached out via phone at 973-678-6015 and via fax at 973-678-3968.
Location: 60 Evergreen Pl Ste 200&904, East Orange, NJ, 07018-2106
Provider Profile Details
NPI Number
1366685554
Provider Name
Henry Duane Hamilton I
Credential
LCADC,ICADC,CAMF
Provider Entity Type
Individual
Gender
Male
Address
60 Evergreen Pl Ste 200&904, East Orange, NJ, 07018-2106
Phone Number
973-678-6015
Fax Number
973-678-3968
Provider Enumeration Date
04/17/2009
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0491187 | 05 | NJ | |
| 0490717 | 05 | NJ | |
| 11890384 | 01 | NJ | CAQH |
| 8576195 | 01 | NJ | AETNA |
Provider Business Practice Location Address Details
Address
60 Evergreen Pl Ste 200&904
City
State
Zip
07018
Phone Number
973-678-6015
Fax Number
973-678-3968
Provider Business Mailing Address Details
Address
60 Evergreen Pl Ste 200&904
City
State
Zip
07018
Phone Number
973-678-6015
Fax Number
973-678-3968
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
37LC00118000 (New Jersey)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
37LC00118000 (New Jersey)
Definition
Definition to come...
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
NO106752 (New Jersey)
Definition
Definition to come...
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
License No.
37LC00118000 (New Jersey)
Definition
Definition to come...
Provider's Taxonomy Details 5
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
44SC05363800 (New Jersey)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Provider's Taxonomy Details 6
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
License No.
37CL00118000 (New Jersey)
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Provider's Taxonomy Details 7
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
37AC00086900 (New Jersey)
Definition
Definition to come...
Provider's Taxonomy Details 8
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
37LC00118000 (New Jersey)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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