Organization Active NPI

Generationsof Change, LLC

  • Clinical Social Worker
  • Bloomfield, NJ
National Provider Identifier
1124394531
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05463500 Issued in NJ
Legal business name
GENERATIONSOF CHANGE, LLC
Practice address
13 Municipal PLZ
#2504
Bloomfield, NJ 07003-7200
Phone
(973) 223-2172
Fax
(973) 675-2251
NPI assigned
Mar 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Authorized official

Name
Mr. Richard Greene, L.C.S.W,, A.C.S.WNPI 1275423907
Title
Owner
Phone
(973) 223-2172

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 44SC05463500 NJ Primary

Addresses

Primary practice location

13 Municipal PLZ
#2504
Bloomfield, NJ 07003-7200

Mailing address

13 Municipal PLZ
#2504
Bloomfield, NJ 07003-7200
Phone (973) 223-2172

National Provider Directory

National Provider Directory

Locations

13 Municipal Plz
Unit 2504
Bloomfield, NJ 07003
Phone (973) 223-2172

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": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1124394531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 MUNICIPAL PLZ",
            "address_2": "#2504",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070037200",
            "telephone_number": "973-223-2172",
            "fax_number": "973-675-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 MUNICIPAL PLZ",
            "address_2": "#2504",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070037200",
            "telephone_number": "973-223-2172",
            "fax_number": "973-675-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONSOF CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-223-2172",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W,, A.C.S.W"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05463500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.