MS. JACQUELINE C PORTER-STEWART (NPI# 1912169103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912169103 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE C PORTER-STEWART |
| Credential | LCADC, LCSW, SAP, |
| Practice Address |
20 Nassau St Suite 204 Princeton NJ 08542-4509 |
| Mailing Address |
Supplanter Counseling & Mediation, LLC 1330 Parkway Avenue, Ste. 12 Ewing NJ 08628-4509 |
| Practice Telephone | 6094543080 |
| Practice Fax Number | 6094543078 |
| Mailing Telephone | 6094543080 |
| Mailing Fax Number | 6094543078 |
| Enumeration Date | 2008-06-28 |
| Last Update Date | 2020-04-30 |
| 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) |
37LC00133600 | NJ | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
44SC05534200 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
20 NASSAU ST SUITE 204 |
| City | PRINCETON |
| State | NJ |
| Zip Code | 08542-4509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447241377 | Andrew Douglas Logue | Psychiatry & Neurology | 20 Nassau St, Suite 513, Princeton, NJ 08542-4509 | 2005-10-31 |
| 1427514157 | Helen Ann Rudinsky | Counselor | 20 Nassau St, Princeton, NJ 08542-4509 | 2019-02-19 |
| 1487189338 | Nicole Cirigliano | Community/Behavioral Health | 20 Nassau St, Suite 311, Princeton, NJ 08542-4509 | 2017-04-28 |
| 1881130888 | Archana Jain | Psychologist | 20 Nassau St, Princeton, NJ 08542-4509 | 2017-01-13 |
| 1780134635 | Michael Bonacci | Acupuncturist | 20 Nassau St, Suite 206, Princeton, NJ 08542-4509 | 2016-10-04 |
| 1831545797 | Ruth S. Mueller | Social Worker | 20 Nassau St, Suite 418, Princeton, NJ 08542-4509 | 2016-05-10 |
| 1730552910 | Ilona Harris | Psychologist | 20 Nassau St, Suite 246, Princeton, NJ 08542-4509 | 2015-11-10 |
| 1407263577 | Joseph Cooper | Psychologist | 20 Nassau St, 202, Princeton, NJ 08542-4509 | 2014-07-21 |
| 1083042808 | Hathi Blackman | Social Worker | 20 Nassau St, Suite 402, Princeton, NJ 08542-4509 | 2013-10-15 |
| 1114350881 | Rebecca Giagnacova | Psychologist | 20 Nassau St, Suite 246, Princeton, NJ 08542-4509 | 2013-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811354822 | Brooke Sweet | Psychologist | 20 Nassau Street, Suite 409, Princeton, NJ 08542 | 2016-01-21 |
| 1598024523 | Libby Zinman Schwartz | Counselor | 43c Palmer Square West, Princeton, NJ 08542 | 2012-05-11 |
| 1164796132 | Beth W. Smith | Social Worker | 20 Nassau St Ste 234b, Princeton, NJ 08542 | 2012-03-08 |
| 1275801144 | Mary Ann Godefroy | Counselor | 17 Chestnut Street, Princeton, NJ 08542 | 2011-12-07 |
| 1639458607 | Pierina Thayer | Counselor | 40 Witherspoon Street, Princeton, NJ 08542 | 2011-08-09 |
| 1083906655 | Amy Elizabeth Bibb | Social Worker | 20 Nassau St Ste 111, Princeton, NJ 08542 | 2011-05-13 |
| 1043538184 | Princeton Premier Medicine, LLC | Internal Medicine | 281 Witherspoon Street, Suite 220, Princeton, NJ 08542 | 2010-05-13 |
| 1790944551 | Mercedes Kennedy | Psychologist | 195 Nassau Street Office #28, Princeton, NJ 08542 | 2008-06-06 |
| 1124152350 | Janet Beth Merkin Weistuch | Social Worker | 194 Nassau St, Princeton, NJ 08542 | 2007-03-16 |
| 1235281890 | Norman Martin Weistuch | Psychologist | 194 Nassau Street, Princeton, NJ 08542 | 2007-01-16 |
| Find all providers in zip 08542 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595564 | John Harlan Daniels | Counselor | 1982 Woodard Rd, Princeton, NC 27569-8315 | 2020-10-14 |
| 1366913204 | Misty Amber Cadle | Counselor | 108 Morrison Dr, Princeton, WV 24740-2322 | 2018-12-17 |
| 1477055812 | Ruth Ann Homer | Counselor | 10 Forrestal Rd S Ste 203, Princeton, NJ 08540-6666 | 2018-03-01 |
| 1043572647 | Ana Guerra | Counselor | 812 State Rd Ste 206, Princeton, NJ 08540-1400 | 2012-06-11 |
| 1164798948 | Andrew Sudbeck | Counselor | 101 18th Avenue North, Princeton, MN 55371 | 2012-03-27 |
| 1275801144 | Mary Ann Godefroy | Counselor | 17 Chestnut Street, Princeton, NJ 08542 | 2011-12-07 |
| 1639458607 | Pierina Thayer | Counselor | 40 Witherspoon Street, Princeton, NJ 08542 | 2011-08-09 |
| 1912212762 | Anna Murawska | Counselor | 145 Witherspoon Str, Suite A4, Princeton, NJ 08542-3228 | 2010-08-17 |
| 1740500255 | Jessica N Caraballo | Counselor | 401 Peter Dana Point Rd, Princeton, ME 04668 | 2010-06-07 |
| 1326275280 | Lucy Harman | Counselor | 106 Broadmead St, Princeton, NJ 08540-7216 | 2009-06-18 |
| Find all providers in PRINCETON | ||||
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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.