NPI 1861055808 · live from the CMS NPI Registry
Roland Al Achtau, LCSW, LCADC
Social Worker, Clinical in Hawthorne, NJ. National Provider Identifier 1861055808, active.
NPI record
| NPI | 1861055808 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 121 Rea Avenue, Hawthorne, NJ 07506 |
| Practice phone | 973-963-4656 |
| Mailing address | 18 Harmer Ter, Wayne, NJ 07470 |
| Enumerated | April 16, 2019 |
| Last updated | January 27, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 44SC05899800 (NJ) |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 37LC00281800 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.