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MS. JACQUELINE C PORTER-STEWART LCADC LCSW SAP NPI 1912169103


NPI Information

NPI: 1912169103
Provider Name: MS. JACQUELINE C PORTER-STEWART, LCADC, LCSW, SAP,
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
20 NASSAU ST
SUITE 204
PRINCETON, NJ
ZIP 08542
Phone: (609) 454-3080
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MS. Jacqueline C Porter-stewart, LCADC, LCSW, SAP, is an addiction (substance use disorder) counselor in Princeton, NJ with 23 years of experience. MS. Jacqueline C Porter-stewart, LCADC, LCSW, SAP, NPI is 1912169103. 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:

20 NASSAU ST
SUITE 204
PRINCETON, NJ
ZIP 08542-509
Phone: (609) 454-3080
Fax: (609) 454-3078

The NPI 1912169103 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/28/2008 and was last updated on 4/30/2020.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)37LC00133600NEW JERSEYYes
21041C0700XSocial WorkerClinical44SC05534200NEW JERSEYNo

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: 5/5/2024

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