Provider Demographics
NPI:1336901164
Name:MCCARDEN, JOHN FITZGERALD (MSW)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:FITZGERALD
Last Name:MCCARDEN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:JOHN
Other - Middle Name:
Other - Last Name:MCCARDEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:4442 ATHUR KILL ROAD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10309
Mailing Address - Country:US
Mailing Address - Phone:718-356-5100
Mailing Address - Fax:
Practice Address - Street 1:946 E 211TH ST # 430
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-1108
Practice Address - Country:US
Practice Address - Phone:718-547-0133
Practice Address - Fax:718-547-0051
Is Sole Proprietor?:No
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)