Organization Active NPI

Courage & Wellness Therapy, LLC

  • Clinical Social Worker
  • Moorestown, NJ
National Provider Identifier
1023590213
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COURAGE & WELLNESS THERAPY, LLC
Practice address
214 W Main St Ste L7
Moorestown, NJ 08057-2300
Phone
(856) 359-4620
NPI assigned
Sep 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lauren Emma, LCSW
Title
Licensed Psychotherapist
Phone
(856) 359-4620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

214 W Main St Ste L7
Moorestown, NJ 08057-2300

Mailing address

214 W Main St Ste L7
Moorestown, NJ 08057-2300

National Provider Directory

National Provider Directory

Locations

214 W Main St
Ste L7
Moorestown, NJ 08057
Phone (856) 359-4620

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536019200000",
    "number": "1023590213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W MAIN ST STE L7",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W MAIN ST STE L7",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572300",
            "telephone_number": "856-359-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGE & WELLNESS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A",
        "authorized_official_last_name": "EMMA",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "LICENSED PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "856-359-4620",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.