Supportive Counseling Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05249600 Issued in NJ

Legal business name

SUPPORTIVE COUNSELING SERVICES

Practice address

53 S Main St
Suite 3F
Medford, NJ 08055-2442

Phone

(609) 410-8607

Fax

(609) 257-0680

NPI assigned

Oct 29, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Corlynn HullfishNPI 1790844694

Title

Owner/Therapist

Phone

(609) 410-8607

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Corlynn Ann Hullfish, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1790844694
  NPD (past) Authorized official

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1073941126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 S MAIN ST",
            "address_2": "SUITE 3F",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552442",
            "telephone_number": "609-410-8607",
            "fax_number": "609-257-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 S MAIN ST",
            "address_2": "SUITE 3F",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552442",
            "telephone_number": "609-410-8607",
            "fax_number": "609-257-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "HULLFISH",
        "authorized_official_first_name": "CORLYNN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "609-410-8607",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05249600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Medford, NJ
• Providers in Medford, 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 Oct 29, 2013; 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.