Summerville Counseling Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SCO5364100 Issued in NJ

Legal business name

SUMMERVILLE COUNSELING SERVICES LLC

Practice address

900 Route 168
Suite a-4
Turnersville, NJ 08012

Phone

(856) 343-9889

NPI assigned

Jun 16, 2011

Organization subpart

No

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

Authorized official

Name

Allen F Summerville, LCSW

Title

President

Phone

(856) 343-9889

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1063707206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 PINTO DR",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ROUTE 168",
            "address_2": "SUITE A-4",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "08012",
            "telephone_number": "856-343-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERVILLE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "SUMMERVILLE",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-343-9889",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SCO5364100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SSP Partners, LLC (dba Medical Imaging of Washington Township)
• Mary K. Stailey-Sims, DO
• Brian Keith Stemetzki I, LCSW
• Michael Stewart, FNP-C
• Patricia M Stoughton, NP
• Tammy L. Norris, MSW,LCSW,LLC
• Jamie L Tanda, MSW
• Tara Vega Castro Inc
• Catherine Noelle Taylor, MA LCADC LAC
• Greg M Taylor, D.O.

• Clinical Social Worker in Turnersville, NJ
• Providers in Turnersville, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.