Organization Active NPI

Wellbeing Center, LLC

  • Clinical Social Worker
  • Tinton Falls, NJ
National Provider Identifier
1053777334
Registry record updated Jan 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05201900 Issued in NJ
Legal business name
WELLBEING CENTER, LLC
Practice address
1 Executive Dr
Tinton Falls, NJ 07701-4933
Phone
(908) 692-7666
NPI assigned
Jan 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2016

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

Authorized official

Name
Ms. Sherry Goldman, LCSW
Title
Owner
Phone
(908) 692-7666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 44SC05201900 NJ Primary

Addresses

Primary practice location

1 Executive Dr
Tinton Falls, NJ 07701-4933

Mailing address

124 Clinton PL
Neptune, NJ 07753-5819
Phone (908) 692-7666

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1451779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451779200000",
    "number": "1053777334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CLINTON PL",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077535819",
            "telephone_number": "908-692-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE DR",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014933",
            "telephone_number": "908-692-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBEING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-03",
        "last_updated": "2016-01-03",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-692-7666",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05201900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2016; 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.