Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. PHILADELPHIA JEANE PROKOP, LCSW/LCADC
ActiveMS. PHILADELPHIA JEANE PROKOP, LCSW/LCADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in LYNDHURST, New Jersey. NPI 1255591129 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · LYNDHURST, NJ
Registration Details
- NPI Number
- 1255591129
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 13, 2008 (18.14582535848 yrs)
- Last Updated
- Jun 13, 2008
- Licenses
-
37LC00121400 (NJ)44SC05363800 (NJ)
Practice Information
- Address
-
516 VALLEY BROOK AVELYNDHURST, NJ, 070711930Browse NJ providers · Browse ZIP 07071
- Phone
- 2019353322
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Clinical Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.