Provider Demographics
NPI:1740294800
Name:KRAFCIK, DIANA JAMES (LCSW, LCADC)
Entity type:Individual
Prefix:MS
First Name:DIANA
Middle Name:JAMES
Last Name:KRAFCIK
Suffix:
Gender:F
Credentials:LCSW, LCADC
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:LYNNETTE
Other - Last Name:JAMES AND (CHARMOY, LCSW, LCADC)
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, LCADC
Mailing Address - Street 1:24 VALLEY FORGE LN
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-3416
Mailing Address - Country:US
Mailing Address - Phone:201-400-0520
Mailing Address - Fax:973-695-1043
Practice Address - Street 1:24 VALLEY FORGE LANE
Practice Address - Street 2:
Practice Address - City:MORRIS PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07950
Practice Address - Country:US
Practice Address - Phone:201-400-0520
Practice Address - Fax:973-695-1043
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2014-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00029800101YA0400X
NJ44SC013020001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)