Provider Demographics
NPI:1285447268
Name:ISMAIL, NABILIAH MUHAMMAD (MSW,LCADC)
Entity type:Individual
Prefix:
First Name:NABILIAH
Middle Name:MUHAMMAD
Last Name:ISMAIL
Suffix:
Gender:F
Credentials:MSW,LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 WILLOWBROOK DR BLDG 14
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-1253
Mailing Address - Country:US
Mailing Address - Phone:908-591-3160
Mailing Address - Fax:
Practice Address - Street 1:186 WILLOWBROOK DR BLDG 14
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-1253
Practice Address - Country:US
Practice Address - Phone:908-591-3160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00372300101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)