Provider Demographics
NPI:1336564400
Name:TRAPP, JESSICA (LCSW, LCADC)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:
Last Name:TRAPP
Suffix:
Gender:F
Credentials:LCSW, 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 106
Mailing Address - Street 2:
Mailing Address - City:EMERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07630-0106
Mailing Address - Country:US
Mailing Address - Phone:551-265-0736
Mailing Address - Fax:
Practice Address - Street 1:700 KINDERKAMACK RD STE 303
Practice Address - Street 2:
Practice Address - City:ORADELL
Practice Address - State:NJ
Practice Address - Zip Code:07649-1533
Practice Address - Country:US
Practice Address - Phone:551-265-0736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-26
Last Update Date:2024-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00245600101YA0400X
VA09040156221041C0700X
NJ44SC056839001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)