Danielle Decembrino, LSW, LCADC, CCS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37LC0030100 Issued in NJ

Practice address

200 Independence Blvd
Sicklerville, NJ 08081-1092

Phone

(856) 316-9219

NPI assigned

Jun 28, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1053098533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 NEW JERSEY AVE",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801019",
            "telephone_number": "609-970-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 INDEPENDENCE BLVD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811092",
            "telephone_number": "856-316-9219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 NJ-168",
            "address_purpose": "LOCATION",
            "city": "Turnersville",
            "state": "NJ",
            "postal_code": "08012",
            "country_code": "US",
            "telephone_number": "609-570-2525 x134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECEMBRINO",
        "first_name": "DANIELLE",
        "credential": "LSW, LCADC, CCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06919900",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC0030100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy J Davis, LSW
• Keisha R Days
• Emily De Penning, CNM, WHNP
• Gina Deangelis
• Samira Deberry
• Francine Delatour, RN,RNFA,CNOR
• Delta Community Supports, Inc.
• Nicholas Anthony Demaria, M.D.
• Mailon L Demby
• Nicholas L Depace, MD

• Addiction (Substance Use Disorder) Counselor in Sicklerville, NJ
• Providers in Sicklerville, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.