MRS. LUCRETIA AMELIA MCDERMOTT (NPI# 1750505640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750505640 |
| Entity Type | Individual |
| Full Name | MRS. LUCRETIA AMELIA MCDERMOTT |
| Credential | L.C.A.D.C. |
| Practice Address |
92 Broadway Suite 103 Denville NJ 07834-2761 |
| Mailing Address |
15 Cobb Rd Mountain Lakes NJ 07046-1105 |
| Practice Telephone | 9736253119 |
| Practice Fax Number | 9732658759 |
| Mailing Telephone | 9732658759 |
| Mailing Fax Number | 9732658759 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LC 00010600 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
92 BROADWAY SUITE 103 |
| City | DENVILLE |
| State | NJ |
| Zip Code | 07834-2761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083613269 | Lake Physicians and Hospital Supply | Durable Medical Equipment & Medical Supplies | 92 Broadway, Denville, NJ 07834-2761 | 2005-07-19 |
| 1912566035 | Ryan R Jackson | Hearing Instrument Specialist | 92 Broadway, Denville, NJ 07834-2761 | 2019-06-12 |
| 1275045627 | Audiology Services Company Usa, LLC | Clinic/Center | 92 Broadway, Denville, NJ 07834-2761 | 2017-10-25 |
| 1205387107 | Special Homes of New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 92 Broadway, Denville, NJ 07834-2761 | 2016-10-17 |
| 1154877439 | Tracy Lynn Kline | Hearing Instrument Specialist | 92 Broadway, Denville, NJ 07834-2761 | 2016-08-28 |
| 1073926655 | Kurt Schwarz | Hearing Instrument Specialist | 92 Broadway, Denville, NJ 07834-2761 | 2014-06-11 |
| 1013330679 | Richard Lewis Barr | Social Worker | 92 Broadway, Denville, NJ 07834-2761 | 2014-01-31 |
| 1639500796 | Special Homes of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 92 Broadway, Denville, NJ 07834-2761 | 2013-11-27 |
| 1689792871 | Deborah Kispert | Dietitian, Registered | 92 Broadway, Suite 204, Denville, NJ 07834-2761 | 2007-03-26 |
| 1003960170 | Laurie Swift | Social Worker | 92 Broadway, Suite 203, Denville, NJ 07834-2761 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304622 | Rosemarie Proven-fahy | Social Worker | 3175 Rt. 10 Building C, Suite 700, Denville, NJ 07834 | 2020-07-28 |
| 1568083327 | Anand Jetti | Student in an Organized Health Care Education/Training Program | Prime Healthcare Consortium At St. Mary's General Hospi, 25 Pocono Road, Denville, NJ 07834 | 2020-05-04 |
| 1265088892 | Absolute Awakenings Treatment Center LLC | Clinic/Center | 3000 Route 10 West, Denville, NJ 07834 | 2019-08-09 |
| 1326607243 | Recovery Zone Solutions, LLC | Clinic/Center | 124 East Main Street, Ste#109, Denville, NJ 07834 | 2019-06-13 |
| 1477022770 | Green Leaf Dentistry, LLC | Dentist | 3155 Route 10, Suite 201, Denville, NJ 07834 | 2018-11-15 |
| 1366955528 | Megan D Lukany | Social Worker | 4 2nd Ave Ste 208-b, Denville, NJ 07834 | 2017-11-09 |
| 1235680430 | Jennifer Jeanty | Nurse Practitioner | 280 W Main St Fl 2, Denville, NJ 07834 | 2016-10-22 |
| 1689129942 | Alejandro Castano | Dentist | 16 Pocono Rd Ste 213, Denville, NJ 07834 | 2016-08-16 |
| 1265830830 | Denville Physical Therapy, LLC | Physical Therapist | 3155 Rte 10 E, Suite 112, Denville, NJ 07834 | 2014-12-15 |
| 1538565577 | Michael T. Cocuzza | Counselor | 76 Broadway Ste 200h, Denville, NJ 07834 | 2014-11-18 |
| Find all providers in zip 07834 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497379523 | Kimberly Anne Vytell | Counselor | 3000 Rt 10 West, Denville, NJ 07843 | 2020-06-04 |
| 1093337313 | Tinamarie Marciano | Counselor | 23 Diamond Spring Rd Ste 8, Denville, NJ 07834-2750 | 2020-05-08 |
| 1538565577 | Michael T. Cocuzza | Counselor | 76 Broadway Ste 200h, Denville, NJ 07834 | 2014-11-18 |
| 1427316884 | Insight - Center for Counseling & Recovery | Counselor | 280 Rte 46 West, Denville, NJ 07834 | 2012-04-24 |
| 1053433722 | Denise Marie Michalowski | Counselor | 280 Route 46 West, Denville, NJ 07834 | 2007-04-04 |
| 1366503815 | Monika Lammers | Counselor | 23 Diamond Spring Rd, Denville, NJ 07834-2770 | 2006-12-12 |
| 1508939893 | Lawrence Green | Counselor | 94 Diamond Spring Road, Denville, NJ 07834 | 2006-11-16 |
| 1528348604 | Toni Manzione | Counselor | 23 Diamond Spring Rd, Denville, NJ 07834-2770 | 2011-08-22 |
| 1003041401 | Jennifer Lynn Douglas-kruk | Counselor | 50 Morris Ave, Denville, NJ 07834-1735 | 2009-05-29 |
| 1891939427 | Deborah Murphy Scott | Counselor | 4 Pocono Rd, Denville, NJ 07834-2956 | 2009-04-27 |
| Find all providers in DENVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.