Mr Henry Duane Hamilton I, LCADC, ICADC, CAMF - Counselor in East Orange, NJ

Mr Henry Duane Hamilton I, LCADC, ICADC, CAMF is a Counselor - Addiction (substance Use Disorder) based in East Orange, New Jersey. Mr Henry Duane Hamilton I is licensed to practice in New Jersey (license number 37LC00118000) and his current practice location is 60 Evergreen Pl Ste 200&904, East Orange, New Jersey. He can be reached at his office (for appointments etc.) via phone at (973) 678-6015.

NPI number for Mr Henry Duane Hamilton I is 1366685554 and his current mailing address is 60 Evergreen Pl Ste 200&904, East Orange, New Jersey. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366685554.

Contact Information

Mr Henry Duane Hamilton I, LCADC, ICADC, CAMF
60 Evergreen Pl Ste 200&904,
East Orange, NJ 07018
(973) 678-6015
(973) 678-3968

Map and Direction


Healthcare Provider's Profile

Full NameMr Henry Duane Hamilton I
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location60 Evergreen Pl Ste 200&904, East Orange, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1366685554
  • Provider Enumeration Date: 04/17/2009
  • Last Update Date: 09/06/2018

Medical Identifiers

Medical identifiers for Mr Henry Duane Hamilton I such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366685554NPI-NPPES
0491187MedicaidNJ
0490717MedicaidNJ
11890384OtherNJCAQH
8576195OtherNJAETNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor 37LC00118000 (New Jersey)Secondary
101YM0800XCounselor - Mental Health 37AC00086900 (New Jersey)Secondary
101YP1600XCounselor - Pastoral 37CL00118000 (New Jersey)Secondary
1041C0700XSocial Worker - Clinical 44SC05363800 (New Jersey)Secondary
207RA0401XInternal Medicine - Addiction Medicine 37LC00118000 (New Jersey)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health NO106752 (New Jersey)Secondary
390200000XStudent In An Organized Health Care Education/training Program 37LC00118000 (New Jersey)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) 37LC00118000 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Henry Duane Hamilton I is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Henry Duane Hamilton I, LCADC, ICADC, CAMF
60 Evergreen Pl Ste 200&904,
East Orange, NJ 07018-2106

Ph: (973) 678-3966
Mr Henry Duane Hamilton I, LCADC, ICADC, CAMF
60 Evergreen Pl Ste 200&904,
East Orange, NJ 07018

Ph: (973) 678-6015

Reviews and Comments


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