MS. SALLY A DAVIS CNS AND LCADC NPI 1538287842

NPI Information

NPI: 1538287842
Provider Name: MS. SALLY A DAVIS, CNS AND LCADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
831 CLINTON ST
APT 13
HOBOKEN, NJ
ZIP 07030
Phone: (201) 795-9223
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MS. Sally A Davis, CNS AND LCADC is an addiction (substance use disorder) counselor in Hoboken, NJ. MS. Sally A Davis, CNS AND LCADC NPI is 1538287842. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

831 CLINTON ST
APT 13
HOBOKEN, NJ
ZIP 07030
Phone: (201) 795-9223

The enumeration date for this NPI number is 3/26/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	37LC00080700	NEW JERSEY	Yes
2	364S00000X	Clinical Nurse Specialist		26NC05192400	NEW JERSEY	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6913300	MEDICAID	NEW JERSEY
2	DA004664	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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