Summer B Brancoccio, LAC, LCADC
Counselor, Addiction (Substance Use Disorder) in Ridgewood, New Jersey
1386993970- Practice location
- 120 Chestnut Street, Ridgewood, NJ 07450
- Phone
- 201-444-3550
- Fax
- —
- Last updated
- August 29, 2012
Summer B Brancoccio is a Counselor, Addiction (Substance Use Disorder) based in Ridgewood, NJ. Summer B Brancoccio practices in Ridgewood, NJ and has the professional credentials of LAC, LCADC. The NPI Number for Summer B Brancoccio is 1386993970 and holds a License No. 37LC00183400 (NJ). The current practice location address for Summer B Brancoccio is 120 Chestnut Street, Ridgewood, NJ 07450 and can be reached out via phone at 201-444-3550.
Provider Profile Details
- NPI Number
- 1386993970
- Provider Name
- Summer B Brancoccio
- Credential
- LAC, LCADC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 120 Chestnut Street, Ridgewood, NJ 07450
- Phone Number
- 201-444-3550
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 29, 2012
- Last Update Date
- August 29, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 120 Chestnut Street
Ridgewood, NJ 07450 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450
- Phone Number
- 201-444-3550
Provider Business Mailing Address Details
- Address
- 797 Edgewood Lane
Fort Lee, NJ 07024 - City
- Fort Lee
- State
- NJ
- Zip
- 07024
- Phone Number
- 201-917-5493
License Information
- License Number
- 37LC00183400
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Summer B Brancoccio, LAC, LCADC?
The NPI number of Summer B Brancoccio, LAC, LCADC is 1386993970. It was assigned on August 29, 2012 and is currently active in the NPPES registry.
What is the specialty of Summer B Brancoccio, LAC, LCADC?
Summer B Brancoccio, LAC, LCADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NJ under license number 37LC00183400.
Where does Summer B Brancoccio, LAC, LCADC practice?
The practice location is 120 Chestnut Street, Ridgewood, NJ 07450. The office can be reached at 201-444-3550 (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 1386993970 directly on the NPPES registry website.