Active NPIIndividual providerSole proprietor

Dr. Joseph G Conrad, LADC

Counselor, Addiction (Substance Use Disorder) in New Preston, Connecticut

NPI Number1497264014
Practice location
17 Church Street, New Preston, CT 06777
Fax
—
Last updated
September 26, 2017

Joseph Gerard Conrad is a Counselor, Addiction (Substance Use Disorder) based in New Preston, CT. Joseph Gerard Conrad practices in New Preston, CT and has the professional credentials of LADC. The NPI Number for Joseph Gerard Conrad is 1497264014 and holds a License No. 01212 (CT). The current practice location address for Joseph Gerard Conrad is 17 Church Street, New Preston, CT 06777 and can be reached out via phone at 203-528-7852.

Provider Profile Details

NPI Number
1497264014
Provider Name
Joseph Gerard Conrad
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
17 Church Street, New Preston, CT 06777
Phone Number
203-528-7852
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
September 26, 2017
Last Update Date
September 26, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
17 Church Street
New Preston, CT 06777
Zip
06777
Phone Number
203-528-7852
New Preston, CT 06777Get directions →

Provider Business Mailing Address Details

Address
17 Church St
New Preston, CT 06777-1502
City
New Preston
State
CT
Zip
06777-1502

License Information

License Number
01212
License State
CT
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.

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Frequently Asked Questions

What is the NPI number of Dr. Joseph G Conrad, LADC?

The NPI number of Dr. Joseph G Conrad, LADC is 1497264014. It was assigned on September 26, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Joseph G Conrad, LADC?

Dr. Joseph G Conrad, LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in CT under license number 01212.

Where does Dr. Joseph G Conrad, LADC practice?

The practice location is 17 Church Street, New Preston, CT 06777. The office can be reached at 203-528-7852 (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 1497264014 directly on the NPPES registry website.

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