4Bienestar LLC – Clinical Social Worker

Key facts

NPI: 1134735640
Entity type: Organization (NPI type 2)
Primary specialty: Clinical Social Worker 1041C0700X
Legal business name: 4BIENESTAR LLC
Practice address: 305 Park Ave # 2
Rutherford, NJ 07070-2748
Phone: (201) 207-9243
Fax: (888) 627-5578
NPI assigned: Sep 20, 2020
Organization subpart: No

Authorized official

Name: Derrick Alloway, LCSW NPI 1326234840
Title: Ceo
Phone: (862) 414-3186

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Derrick Jason Alloway, LCSW Clinical Social Worker · Dover, DE · NPI 1326234840

NPD Authorized official CLINICAL

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker Group: 193400000X SINGLE SPECIALTY GROUP	1041C0700X			Yes

Addresses

Primary practice location

305 Park Ave # 2
Rutherford, NJ 07070-2748

Mailing address

305 Park Ave # 2
Rutherford, NJ 07070-2748
Phone (201) 207-9243

Other identifiers

Identifier	Type	State	Issuer
0161772	Medicaid	NJ

Other providers in Rutherford, NJ

All providers in Rutherford, NJ · Clinical Social Worker in New Jersey

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.