Individual provider · Type 1 NPI

Louis J. Ciccolello Sr.

Peer Specialist · Atlantic City, NJ

NPI number 1396536645 Active

Practice location

1925 Pacific Ave
Atlantic City, NJ 08401-6713

Call (609) 345-4000 Map

Mailing address

6550 Delilah Rd Ste 301
Egg Harbor Township, NJ 08234-5102

Other practice locations

  • 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 · (609) 652-1000
  • 2500 English Creek Ave, Building 900, Suite 905, Egg Harbor Township, NJ 08234 · (609) 833-9933

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X50683 (NJ)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1396536645

Louis J. Ciccolello Sr.'s National Provider Identifier is 1396536645, issued on May 15, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Atlantic City, NJ. The record was last updated on May 15, 2025.