Active NPI
Generationsof Change, LLC
- Clinical Social Worker
- Bloomfield, NJ
National Provider Identifier
1124394531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05463500
- 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
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.W
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.