Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. James Michael Destefano, LCSW

Individual provider Mental Health Counselor · NPI 1104029099

Mr. James Michael Destefano, LCSW is a Mental Health Counselor in Fords, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

720 King George Rd
Fords, NJ 08863-1974
Phone: (732) 738-4209
Fax: (732) 738-4208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 44SC05436000 (NJ)

Record details

NPI number1104029099
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 7, 2007
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026

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