Infinity Empowerment Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05263500 Issued in NJ

Legal business name

INFINITY EMPOWERMENT SERVICES

Practice address

215 Highland Ave
Ste C
Haddon Township, NJ 08108-2634

Phone

(609) 346-2409

Fax

(609) 747-9968

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Robin C Wiley, LCSWNPI 1235272840

Title

Ceo

Phone

(609) 346-2409

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Robin C Wiley, MSW, LCSW

  • Clinical Social Worker
  • Haddon Township, NJ
  • NPI 1235272840
  NPD (past) Authorized official

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1083831499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E PEARL ST",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080161705",
            "telephone_number": "609-747-9391",
            "fax_number": "609-747-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HIGHLAND AVE",
            "address_2": "STE C",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081082634",
            "telephone_number": "609-346-2409",
            "fax_number": "609-747-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY EMPOWERMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-346-2409",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05263500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0065161",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Huang Huang, REGISTERED DIETITIAN
• Christopher Huff, LCSW, LCADC
• Suzanne Hughes, M.S.ED., BCBA
• Jerrold D Hutkin, RPH
• Inadvance Medicine Associates East (Passport Health)
• Erik Jervis, LSW
• JMD Psychological Services, LLC
• JMS Behavioral Health Inc.
• Tyreasea Anicha Johnson-Mason, NP
• Megan Kirby

• Clinical Social Worker in Haddon Township, NJ
• Providers in Haddon Township, 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 Jul 9, 2008; 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.