Active NPIIndividual provider

Candace Kotkin-Decarvalho, LCADC

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

NPI Number1740896042
Practice location
3 Corbett Way, Eatontown, NJ 07724-2283
Fax
732-542-1948
Last updated
September 22, 2020

Candace Kotkin-Decarvalho is a Counselor, Addiction (Substance Use Disorder) based in Eatontown, NJ. Candace Kotkin-Decarvalho practices in Eatontown, NJ and has the professional credentials of LCADC. The NPI Number for Candace Kotkin-Decarvalho is 1740896042 and holds a License No. 37LC00318700 (NJ). The current practice location address for Candace Kotkin-Decarvalho is 3 Corbett Way, Eatontown, NJ 07724-2283 and can be reached out via phone at 732-210-0509 and via fax at 732-542-1948.

Provider Profile Details

NPI Number
1740896042
Provider Name
Candace Kotkin-Decarvalho
Credential
LCADC
Provider Entity Type
Individual
Gender
Female
Address
3 Corbett Way, Eatontown, NJ 07724-2283
Phone Number
732-210-0509
Fax Number
732-542-1948
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
September 22, 2020
Last Update Date
September 22, 2020
Certification Date
September 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Corbett Way
Eatontown, NJ 07724-2283
Zip
07724-2283
Phone Number
732-210-0509
Fax Number
732-542-1948
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
3 Corbett Way
Eatontown, NJ 07724-2283
City
Eatontown
State
NJ
Zip
07724-2283
Phone Number
732-210-0509
Fax Number
732-542-1948

License Information

License Number
37LC00318700
License State
NJ
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 Candace Kotkin-Decarvalho, LCADC?

The NPI number of Candace Kotkin-Decarvalho, LCADC is 1740896042. It was assigned on September 22, 2020 and is currently active in the NPPES registry.

What is the specialty of Candace Kotkin-Decarvalho, LCADC?

Candace Kotkin-Decarvalho, LCADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NJ under license number 37LC00318700.

Where does Candace Kotkin-Decarvalho, LCADC practice?

The practice location is 3 Corbett Way, Eatontown, NJ 07724-2283. The office can be reached at 732-210-0509 (phone) or 732-542-1948 (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 1740896042 directly on the NPPES registry website.

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