Provider Demographics
NPI:1720775588
Name:HAMILTON, ERIC (LSW)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 LONGWORTH ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-1233
Mailing Address - Country:US
Mailing Address - Phone:908-952-7639
Mailing Address - Fax:
Practice Address - Street 1:26 LONGWORTH ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-1233
Practice Address - Country:US
Practice Address - Phone:908-952-7639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)