HENRY D HAMILTON I, LCADC, ICADC, CAMF EAST ORANGE, NJ

Contact Information

HENRY D HAMILTON I, LCADC, ICADC, CAMF

60 EVERGREEN PL STE 200&904
EAST ORANGE, NJ 07018

Phone: 973-678-6015
Fax: 973-678-3968
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Addiction (Substance Use Disorder)	101YA0400X
Addiction Medicine	207RA0401X	11	Physician/Internal Medicine
Clinical	1041C0700X	80	Licensed Clinical Social Worker
Counselor	101Y00000X
Mental Health	101YM0800X
Pastoral	101YP1600X
Psychiatric/Mental Health	363LP0808X	50	Nurse Practitioner
Student in an Organized Health Care Education/Training Program	390200000X

Indicates primary specialty

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NPI Profile & details for HENRY D HAMILTON I · (Male)

NPI Number	`1366685554`
Status	Active
Credentials	LCADC, ICADC, CAMF
Entity	Individual
Enumeration date	04/17/2009
Last updated	09/06/2018 - About 8 years ago
Sole proprietor ¹	No
Identifiers	NJ License # 37AC00086900 NJ License # 37CL00118000 NJ License # 37LC00118000 NJ License # 44SC05363800 NJ License # NO106752 NJ Medicaid 0490717 NJ Medicaid 0491187 NJ Other 8576195 AETNA NJ Other 11890384 CAQH
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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