Healthcare Provider Details

I. General information

NPI: 1629972393
Provider Name (Legal Business Name): MARTA HESS MA, LCADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 DELSEA DR S
GLASSBORO NJ
08028-2621
US

IV. Provider business mailing address

42 DELSEA DR S
GLASSBORO NJ
08028-2621
US

V. Phone/Fax

Practice location:
  • Phone: 844-422-3632
  • Fax: 856-881-5508
Mailing address:
  • Phone: 844-422-3632
  • Fax: 856-881-5508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number37LC00171700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: