Healthcare Provider Details

I. General information

NPI: 1801916465
Provider Name (Legal Business Name): JACYNTH M PELLAND LCSW,ACSW,LCADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 MAIN ST
FLEMINGTON NJ
08822-1468
US

IV. Provider business mailing address

322 SUMMIT PL
HIGHLAND PARK NJ
08904-2508
US

V. Phone/Fax

Practice location:
  • Phone: 908-788-1900
  • Fax:
Mailing address:
  • Phone: 732-249-1905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number37LC00064900
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC0440000900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: