Organization Active NPI

Counseling Center for Trauma and Grief a NJ Nonprofit Corporation

  • Clinical Social Worker
  • Moorestown, NJ
National Provider Identifier
1043451594
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00031900 Issued in NJ
Legal business name
COUNSELING CENTER FOR TRAUMA AND GRIEF A NJ NONPROFIT CORPORATION
Practice address
212 W Route 38
Suite 200
Moorestown, NJ 08057-3238
Phone
(856) 834-1181
Fax
(856) 834-1183
NPI assigned
Mar 12, 2009
Last updated
Feb 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Authorized official

Name
Ms. Margaret A Blong
Title
Director of Client Services
Phone
(856) 834-1181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC00031900 NJ Primary

Addresses

Primary practice location

212 W Route 38
Suite 200
Moorestown, NJ 08057-3238

Mailing address

PO Box 316
Mount Laurel, NJ 08054-0316
Phone (856) 834-1181

National Provider Directory

National Provider Directory

Locations

212 W Route 38
Ste 200
Moorestown, NJ 08057
Phone (856) 320-2821

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1043451594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 316",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080540316",
            "telephone_number": "856-834-1181",
            "fax_number": "856-834-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W ROUTE 38",
            "address_2": "SUITE 200",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573238",
            "telephone_number": "856-834-1181",
            "fax_number": "856-834-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTER FOR TRAUMA AND GRIEF A NJ NONPROFIT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "BLONG",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF CLIENT SERVICES",
        "authorized_official_telephone_number": "856-834-1181",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00031900",
            "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 Feb 16, 2010; 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.