Active NPIIndividual provider

Sean R Mcdonald

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

NPI Number1396479655
Practice location
111 Route 35, Cliffwood, NJ 07721-1512
Fax
—
Last updated
April 24, 2024

Sean R Mcdonald is a Counselor, Addiction (Substance Use Disorder) based in Cliffwood, NJ. Sean R Mcdonald practices in Cliffwood, NJ. The NPI Number for Sean R Mcdonald is 1396479655 and holds a License No. 37CA00187500 (NJ). The current practice location address for Sean R Mcdonald is 111 Route 35, Cliffwood, NJ 07721-1512 and can be reached out via phone at 732-727-2555.

Provider Profile Details

NPI Number
1396479655
Provider Name
Sean R Mcdonald
Provider Entity Type
Individual
Gender
Male
Address
111 Route 35, Cliffwood, NJ 07721-1512
Phone Number
732-727-2555
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
July 13, 2022
Last Update Date
April 24, 2024
Certification Date
April 24, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Route 35
Cliffwood, NJ 07721-1512
Zip
07721-1512
Phone Number
732-727-2555
Cliffwood, NJ 07721Get directions →

Provider Business Mailing Address Details

Address
96 Chestnut St
Kearny, NJ 07032-2551
City
Kearny
State
NJ
Zip
07032-2551
Phone Number
201-920-9328

License Information

License Number (2)
37CA00187500
License State (2)
NJ
Taxonomy (2)
Case Manager/Care Coordinator · 171M00000X
License Number (3)
37CA00187500
License State (3)
NJ
Taxonomy (3)
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 Sean R Mcdonald?

The NPI number of Sean R Mcdonald is 1396479655. It was assigned on July 13, 2022 and is currently active in the NPPES registry.

What is the specialty of Sean R Mcdonald?

Sean R Mcdonald is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NJ under license number 37CA00187500.

Where does Sean R Mcdonald practice?

The practice location is 111 Route 35, Cliffwood, NJ 07721-1512. The office can be reached at 732-727-2555 (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 1396479655 directly on the NPPES registry website.

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