Provider Demographics
NPI:1952748980
Name:HADLER, NELSON LLOYD (LCSW, LCADC, CCS)
Entity Type:Individual
Prefix:MR
First Name:NELSON
Middle Name:LLOYD
Last Name:HADLER
Suffix:
Gender:M
Credentials:LCSW, LCADC, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4118 NW 11TH TER
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33993-9144
Mailing Address - Country:US
Mailing Address - Phone:973-713-7957
Mailing Address - Fax:239-673-0497
Practice Address - Street 1:8192 COLLEGE PKWY
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-5175
Practice Address - Country:US
Practice Address - Phone:973-713-7957
Practice Address - Fax:239-673-0497
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-31
Last Update Date:2022-11-21
Deactivation Date:2019-01-03
Deactivation Code:
Reactivation Date:2020-01-28
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00168900101YA0400X
NJ44SC045625001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)