Active NPI
Inner Peace Counseling and Therapeutic Services
- Clinical Social Worker
- Pennsauken, NJ
National Provider Identifier
1104697572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- INNER PEACE COUNSELING AND THERAPEUTIC SERVICES
- Practice address
- 821 Engard Ave
Pennsauken, NJ 08110-3440 - Phone
- (856) 803-6387
- NPI assigned
- Jan 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Courtney Freeman, LCSW
- Title
- Social Worker
- Phone
- (856) 803-6387
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
821 Engard Ave
Pennsauken, NJ 08110-3440
Mailing address
821 Engard Ave
Pennsauken, NJ 08110-3440
National Provider Directory
National Provider DirectoryLocations
900 Haddon Ave
Ste 40011
Collingswood, NJ 08108
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705363200000",
"number": "1104697572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 ENGARD AVE",
"city": "PENNSAUKEN",
"state": "NJ",
"postal_code": "081103440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 ENGARD AVE",
"city": "PENNSAUKEN",
"state": "NJ",
"postal_code": "081103440",
"telephone_number": "856-803-6387"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNER PEACE COUNSELING AND THERAPEUTIC SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-12",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A",
"authorized_official_last_name": "FREEMAN",
"authorized_official_first_name": "COURTNEY",
"authorized_official_title_or_position": "SOCIAL WORKER",
"authorized_official_telephone_number": "856-803-6387",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pennsauken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.