Organization Active NPI

Scores Reentry Inc

Doing business as Scores Reentry

  • Social Worker
  • Wood Ridge, NJ
National Provider Identifier
1073263760
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
SCORES REENTRY INC
Doing business as
Scores Reentry
Practice address
401B Wood Ridge Ave
Wood Ridge, NJ 07075-1531
Phone
(201) 893-6397
NPI assigned
Mar 25, 2022
Last updated
Mar 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Authorized official

Name
Priscilla CarmonaNPI 1306524921
Title
Chief Executive Officer
Phone
(201) 893-6397

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Group Psychotherapy Psychologist 103TP2701X NU
Social Worker 104100000X NU Primary
Clinical Social Worker 1041C0700X NU
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

401B Wood Ridge Ave
Wood Ridge, NJ 07075-1531

Mailing address

401B Wood Ridge Ave
Wood Ridge, NJ 07075-1531
Phone (201) 893-6397

Other names 1

  • SCORES REENTRY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1073263760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401B WOOD RIDGE AVE",
            "city": "WOOD RIDGE",
            "state": "NJ",
            "postal_code": "070751531",
            "telephone_number": "201-893-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401B WOOD RIDGE AVE",
            "city": "WOOD RIDGE",
            "state": "NJ",
            "postal_code": "070751531",
            "telephone_number": "201-893-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCORES REENTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "CARMONA",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "201-893-6397"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCORES REENTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wood Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.