South Orange Blossoms, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SOUTH ORANGE BLOSSOMS, LLC

Practice address

467 Springfield Ave Ste 205
Summit, NJ 07901-2622

Phone

(973) 370-5686

NPI assigned

Jan 7, 2019

Organization subpart

No

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

Authorized official

Name

Jennifer Burleson, MSW, LCSWNPI 1881983633

Title

Owner/Psychotherapist

Phone

(973) 370-5686

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• South Orange Blossoms, LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Renee Burleson, LCSW

  • Clinical Social Worker
  • Bentonville, AR
  • NPI 1881983633
  NPD Authorized official

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1063985679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 SPRINGFIELD AVE STE 205",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012622",
            "telephone_number": "973-370-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 SPRINGFIELD AVE STE 205",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012622",
            "telephone_number": "973-370-5686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "697 Valley St",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "NJ",
            "postal_code": "070402641",
            "country_code": "US",
            "telephone_number": "973-370-5686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH ORANGE BLOSSOMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "BURLESON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "973-370-5686",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1881983633",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Orange Blossoms, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Georgianna S Snell
• Hugh David Snyder, M.D.
• John James Sobotka II, M.D.
• Jeannine Sopko, CRNA
• Meg W Sosnow, M.D.
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• Spring Meadows Summit
• Springfield Family Practice, LLC

• Clinical Social Worker in Summit, NJ
• Providers in Summit, 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 Apr 13, 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.