Active NPIIndividual provider

Mr. Henry D Hamilton I, LCADC, ICADC, CAMF

Counselor, Addiction (Substance Use Disorder) in East Orange, New Jersey

NPI Number1366685554
Practice location
60 Evergreen Pl Ste 200&904, East Orange, NJ 07018
Fax
973-678-3968
Last updated
September 6, 2018

Henry Duane Hamilton is a Counselor, Addiction (Substance Use Disorder) based in East Orange, NJ. Henry Duane Hamilton practices in East Orange, NJ and has the professional credentials of LCADC, ICADC, CAMF. The NPI Number for Henry Duane Hamilton is 1366685554 and holds a License No. 37LC00118000 (NJ). The current practice location address for Henry Duane Hamilton is 60 Evergreen Pl Ste 200&904, East Orange, NJ 07018 and can be reached out via phone at 973-678-6015 and via fax at 973-678-3968.

Provider Profile Details

NPI Number
1366685554
Provider Name
Henry Duane Hamilton
Credential
LCADC, ICADC, CAMF
Provider Entity Type
Individual
Gender
Male
Address
60 Evergreen Pl Ste 200&904, East Orange, NJ 07018
Phone Number
973-678-6015
Fax Number
973-678-3968
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Other Names
Mr. Henry Duane Muhammad(Hamilton), LCADC (Other Name)
Provider Enumeration Date
April 17, 2009
Last Update Date
September 6, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
60 Evergreen Pl Ste 200&904
East Orange, NJ 07018
Zip
07018
Phone Number
973-678-6015
Fax Number
973-678-3968
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
60 Evergreen Pl Ste 200&904
East Orange, NJ 07018-2106
City
East Orange
State
NJ
Zip
07018-2106
Phone Number
973-678-3966
Fax Number
973-678-3968

License Information

License Number (1)
37LC00118000
License State (1)
NJ
Taxonomy (1)
Counselor · 101Y00000X
License Number (2)
37AC00086900
License State (2)
NJ
Taxonomy (2)
Counselor, Mental Health · 101YM0800X
License Number (3)
37CL00118000
License State (3)
NJ
Taxonomy (3)
Counselor, Pastoral · 101YP1600X
License Number (4)
44SC05363800
License State (4)
NJ
Taxonomy (4)
Social Worker, Clinical · 1041C0700X
License Number (5)
37LC00118000
License State (5)
NJ
Taxonomy (5)
Internal Medicine, Addiction Medicine · 207RA0401X
License Number (6)
NO106752
License State (6)
NJ
Taxonomy (6)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (7)
37LC00118000
License State (7)
NJ
License Number (8)
37LC00118000
License State (8)
NJ
Taxonomy (8)
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mr. Henry D Hamilton I, LCADC, ICADC, CAMF?

The NPI number of Mr. Henry D Hamilton I, LCADC, ICADC, CAMF is 1366685554. It was assigned on April 17, 2009 and is currently active in the NPPES registry.

What is the specialty of Mr. Henry D Hamilton I, LCADC, ICADC, CAMF?

Mr. Henry D Hamilton I, LCADC, ICADC, CAMF is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NJ under license number 37LC00118000.

Where does Mr. Henry D Hamilton I, LCADC, ICADC, CAMF practice?

The practice location is 60 Evergreen Pl Ste 200&904, East Orange, NJ 07018. The office can be reached at 973-678-6015 (phone) or 973-678-3968 (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 1366685554 directly on the NPPES registry website.

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