Healthcare Provider Details

I. General information

NPI: 1407690134
Provider Name (Legal Business Name): CHRISTOPHER JOHN HADFIELD LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2024
Last Update Date: 06/19/2024
Certification Date: 06/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

932 STATE RD
PRINCETON NJ
08540-1445
US

IV. Provider business mailing address

PO BOX 3101
TRENTON NJ
08619-0101
US

V. Phone/Fax

Practice location:
  • Phone: 609-403-6190
  • Fax: 609-403-6191
Mailing address:
  • Phone: 609-851-1289
  • Fax: 609-403-6191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05996900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: