Active NPI
DRW Healthcare Services & Mental Health Wellness, LLC
- Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
- Newark, NJ
National Provider Identifier
1104791847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
- Legal business name
- DRW HEALTHCARE SERVICES & MENTAL HEALTH WELLNESS, LLC
- Practice address
- 290 Springfield Ave Unit 8001
Newark, NJ 07103-7000 - Phone
- (973) 508-3161
- Fax
- (973) 242-9339
- NPI assigned
- Oct 10, 2025
- Organization subpart
- Yes
- Parent organization
- DRW HEALTHCARE SERVICES & MENTAL HEALTH SERVICES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Denise Regina Warren-Simmons, NURSE PRACTITIONER
- Title
- Director of Clinical Services
- Phone
- (973) 508-3161
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 |
|---|---|---|---|---|
| Child & Family Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0810X | Primary |
Addresses
Primary practice location
290 Springfield Ave Unit 8001
Newark, NJ 07103-7000
Mailing address
290 Springfield Ave Unit 8001
Newark, NJ 07103-7000
Phone (973) 508-3161
National Provider Directory
National Provider Directory- Part of
- DRW Healthcare Services Mental Health Wellness LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Newark, NJ
- NPI 1588172662
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760054400000",
"number": "1104791847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 SPRINGFIELD AVE UNIT 8001",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071037000",
"telephone_number": "973-508-3161",
"fax_number": "973-242-9339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 SPRINGFIELD AVE UNIT 8001",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071037000",
"telephone_number": "973-508-3161",
"fax_number": "973-242-9339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRW HEALTHCARE SERVICES & MENTAL HEALTH WELLNESS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DRW HEALTHCARE SERVICES & MENTAL HEALTH SERVICES, LLC",
"enumeration_date": "2025-10-10",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A",
"authorized_official_last_name": "WARREN-SIMMONS",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "REGINA",
"authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
"authorized_official_telephone_number": "973-508-3161",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "NURSE PRACTITIONER"
},
"taxonomies": [
{
"code": "364SP0810X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.