Provider Demographics
NPI:1952100174
Name:CRAWFORD, NATHAN (LSW,LCADC)
Entity type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:
Last Name:CRAWFORD
Suffix:
Gender:
Credentials:LSW,LCADC
Other - Prefix:MR
Other - First Name:NATHAN
Other - Middle Name:
Other - Last Name:CRAWFORD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LSW,LCADC
Mailing Address - Street 1:315A JUTLAND DR
Mailing Address - Street 2:
Mailing Address - City:MONROE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-7667
Mailing Address - Country:US
Mailing Address - Phone:201-362-9360
Mailing Address - Fax:
Practice Address - Street 1:315A JUTLAND DR
Practice Address - Street 2:
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08831-7667
Practice Address - Country:US
Practice Address - Phone:201-362-9360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
37LC0023100101YA0400X
NJ37LC00231000101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)