Provider Demographics
NPI:1134019367
Name:CRAFT, ANTHONY MARK JR (LSW)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:MARK
Last Name:CRAFT
Suffix:JR
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 1:20000 HORIZON WAY STE 120
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-4303
Mailing Address - Country:US
Mailing Address - Phone:856-269-0013
Mailing Address - Fax:
Practice Address - Street 1:20000 HORIZON WAY STE 120
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-4303
Practice Address - Country:US
Practice Address - Phone:856-269-0013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL07292600104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker