Organization Active NPI

Divine Recovery Therapy LLC

  • Clinical Social Worker
  • East Brunswick, NJ
National Provider Identifier
1053990978
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DIVINE RECOVERY THERAPY LLC
Practice address
1 Auer CT
East Brunswick, NJ 08816-5823
Phone
(732) 785-4323
NPI assigned
Apr 7, 2021
Last updated
Apr 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Donna Horn-Hooks, LCSWNPI 1811147457
Title
Licensed Clinical Social Worker
Phone
(631) 291-2550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1 Auer CT
East Brunswick, NJ 08816-5823

Mailing address

PO Box 581
Kingston, NJ 08528-0581
Phone (732) 785-4323

National Provider Directory

National Provider Directory

Locations

1 Auer Ct
East Brunswick, NJ 08816
Phone (732) 785-4323

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1053990978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 581",
            "city": "KINGSTON",
            "state": "NJ",
            "postal_code": "085280581",
            "telephone_number": "732-785-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AUER CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165823",
            "telephone_number": "732-785-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE RECOVERY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-02",
        "status": "A",
        "authorized_official_last_name": "HORN-HOOKS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "631-291-2550",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.