Jodi F Conway, LCADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Dumont, NJ
NPI 1497947329 · NPPES record last updated Aug 14, 2007
Key facts
- NPI
- 1497947329
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 37LC00136400 (NJ)
- Practice address
- 41 Seneca Ave
Dumont, NJ 07628-2728 - Phone
- (201) 384-5115
- Fax
- (201) 384-6177
- NPI assigned
- Aug 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00136400 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00136400 | NJ | Yes |
Addresses
Primary practice location
41 Seneca Ave
Dumont, NJ 07628-2728
Mailing address
41 Seneca Ave
Dumont, NJ 07628-2728
Phone (201) 384-5115
Other providers in Dumont, NJ
- Rajeshree Prashant Chinchankar
- Virginia Clark
- Krystal Coke
- Community Options, Inc
- Community Options, Inc.
- Viktor Cortese
- Perfecto Cortorreal
- Lois Corwin
- Jessica Costeniuc
- Cecilia Crasto
All providers in Dumont, NJ · Addiction (Substance Use Disorder) Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.