1386846285 NPI number — FRANCIS X KOWALSKI ED.S., LPC, LCDAC,

Table of content: BRITNY MILLER (NPI 1336822469)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386846285 NPI number — FRANCIS X KOWALSKI ED.S., LPC, LCDAC,

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KOWALSKI
Provider First Name:
FRANCIS
Provider Middle Name:
X
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
ED.S., LPC, LCDAC,
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386846285
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6 WILRUE PKWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
POMPTON PLAINS
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07444-1718
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-907-7408
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
479 AVENUE C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BAYONNE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07002-5110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-339-0142
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/03/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  37LC00127000 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP2500X , with the licence number: PC00683 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TS0200X , with the licence number: 00042019 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 104100000X , with the licence number: SW00522 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00042019 . This is a "SCHOOL PSYCHOLOGIST" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 17083 . This is a "NAT CERT COUNSELOR" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 207 . This is a "CERT CLINICAL SUPERV" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: SW00522 . This is a "CERT SOCIAL WORKER" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 37LC00127000 . This is a "LIC CLINICAL ALCOHOL &DRU" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: PC00683 . This is a "LIC PROF COUNSELOR" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 00115762 . This is a "SUBSTANCE AWARENESS COOR" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 006 . This is a "CERT CRIMINAL JUSTICE COU" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 24831 . This is a "CERT SEX OFFENDER SERVICE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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