Connect Family Center Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC01347500 Issued in NJ

Legal business name

CONNECT FAMILY CENTER INC

Practice address

4202 Route 130
Suite # 6
Willingboro, NJ 08046-2509

Phone

(609) 871-4442

Fax

(609) 871-2487

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Theresa Thompson, MSW

Title

Executive Director Family Therapist

Phone

(609) 504-3694

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093933343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 ROUTE 130",
            "address_2": "SUITE # 6",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080462509",
            "telephone_number": "609-871-4442",
            "fax_number": "609-871-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 ROUTE 130",
            "address_2": "SUITE # 6",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080462509",
            "telephone_number": "609-871-4442",
            "fax_number": "609-871-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT FAMILY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR FAMILY THERAPIST",
        "authorized_official_telephone_number": "609-504-3694",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01347500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016721",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Willingboro, NJ
• Providers in Willingboro, 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 Aug 22, 2020; 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.