Provider Demographics
NPI:1134475817
Name:AARON, EMANUEL (LICSW,LADCI, CADCII,)
Entity type:Individual
Prefix:MR
First Name:EMANUEL
Middle Name:
Last Name:AARON
Suffix:
Gender:M
Credentials:LICSW,LADCI, CADCII,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:MA
Mailing Address - Zip Code:01364-1729
Mailing Address - Country:US
Mailing Address - Phone:201-253-8012
Mailing Address - Fax:
Practice Address - Street 1:128 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:MA
Practice Address - Zip Code:01364-1729
Practice Address - Country:US
Practice Address - Phone:201-253-8012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-31
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00160700101YA0400X
MA1642 AD101YA0400X
NJ44SL05623300104100000X
MA1187911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker