Aspire Clinical Training Center, LLC
Organization Active NPI Clinical Social Worker · Shamong, NJ
NPI 1083482780 · NPPES record last updated Jul 1, 2024
Key facts
- NPI
- 1083482780
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- ASPIRE CLINICAL TRAINING CENTER, LLC
- Practice address
- 212 Skylar CT
Shamong, NJ 08088-9611 - Phone
- (856) 279-0020
- NPI assigned
- Dec 13, 2023
- Organization subpart
- No
Authorized official
- Name
- Angela Armendariz, LCSW
- Title
- Clinical Director
- Phone
- (856) 279-0020
Practitioners 5
-
Angela Renee Armendariz, LCSW
-
Brian Rader, M.S, NCC, LAC
-
Julie Wells, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240522002290 | NJ | Part B Supplier - Clinic/Group Practice | 9335581347 |
Receives reassigned benefits from 5 practitioners Practice locations: Shamong, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Professional Counselor |
101YP2500X | |||
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
212 Skylar CT
Shamong, NJ 08088-9611
Mailing address
212 Skylar CT
Shamong, NJ 08088-9611
Phone (856) 279-0020
Other providers in Shamong, NJ
- Angela Renee Armendariz
- Beacon Specialized Living New Jersey, Inc.
- Devon Berry
- Tricia L Best
- Claire Nicole Caramanna
- David Mark Carey
All providers in Shamong, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.