Active NPI
Lynda M Coraluzzi, LCADC
- Addiction (Substance Use Disorder) Counselor
- Sewell, NJ
National Provider Identifier
1104512995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 37LC00361700
- Practice address
- 1302 Woodmont Cir # 08080
Sewell, NJ 08080-2275 - Phone
- (856) 535-6593
- NPI assigned
- Apr 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00361700 | OH | Primary |
Addresses
Primary practice location
1302 Woodmont Cir # 08080
Sewell, NJ 08080-2275
Mailing address
1302 Woodmont Cir # 08080
Sewell, NJ 08080-2275
Phone (856) 535-6593
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00361700 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682208000000",
"number": "1104512995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 WOODMONT CIR # 08080",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080802275",
"telephone_number": "856-535-6593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 WOODMONT CIR # 08080",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080802275",
"telephone_number": "856-535-6593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORALUZZI",
"first_name": "LYNDA",
"middle_name": "M",
"credential": "LCADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-13",
"last_updated": "2023-04-23",
"certification_date": "2023-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "37LC00361700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sewell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.