IndividualActive
James Destefano, M.S.W. ,L.S.W.
NPI 1104029099 · Mental Health Counselor · Fords, NJ
Provider details
- NPI number
- 1104029099
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- M.S.W. ,L.S.W.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 44SL05036200 (NJ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
720 King George Rd
Fords, NJ 08863-1974
Phone: (732) 738-4209
Fax: (732) 738-4208
Street-level locationGet directions
Mailing address
4 Harbor Ct
Monroe Township, NJ 08831-1697
Registry dates
- Enumerated
- 2007-06-07
- Last updated
- 2007-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.