Provider Demographics
NPI:1164010963
Name:POSEY, DARLENE (LSW LCADC)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:
Last Name:POSEY
Suffix:
Gender:F
Credentials:LSW LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7553
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-7553
Mailing Address - Country:US
Mailing Address - Phone:908-409-3823
Mailing Address - Fax:
Practice Address - Street 1:126 W 5TH AVE
Practice Address - Street 2:
Practice Address - City:ROSELLE
Practice Address - State:NJ
Practice Address - Zip Code:07203-1903
Practice Address - Country:US
Practice Address - Phone:908-409-3823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00311800101YA0400X
NJ44SL065383300104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)