Courage for Change, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COURAGE FOR CHANGE, LLC

Practice address

297 Kinderkamack Rd Ste 212
Oradell, NJ 07649-1535

Phone

(201) 218-2452

NPI assigned

Oct 22, 2019

Last updated

Oct 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gabrielle Avitabile, LCSWNPI 1013495563

Title

Owner

Phone

(201) 218-2452

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gabrielle Avitabile, LCSW

  • Clinical Social Worker
  • Oradell, NJ
  • NPI 1013495563
  NPD (past) Authorized official

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1114560257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 ELIZABETH ST",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076492608",
            "telephone_number": "201-218-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 KINDERKAMACK RD STE 212",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491535",
            "telephone_number": "201-218-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGE FOR CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "AVITABILE",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-218-2452",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa R Connolly, PHYSICIAN ASSISTANT
• Margaret Contillo, LCSW ACSW SAC
• Christopher Cordero, DPT
• Janet Elizabeth Corrado, R.PH
• Counseling & Therapy, LLC
• Curalta Medical LLC
• Robert Joseph Cusumano, M.D.
• Beth M. Damato-Pantano, APRN-BC
• Kathleen Day I
• Donald R Deblock, MSN, RN-BC, ANP-BC

• Community/Behavioral Health Agency in Oradell, NJ
• Providers in Oradell, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.