Expressions Behavioral Health Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05478100 Issued in NJ

Legal business name

EXPRESSIONS BEHAVIORAL HEALTH SERVICES

Practice address

134 Evergreen PL
Suite 709
East Orange, NJ 07018-2011

Phone

(862) 930-3507

Fax

(862) 930-3482

NPI assigned

Dec 8, 2015

Last updated

Dec 29, 2015By 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

Donna E Smith, LCSW , LCADCNPI 1114110699

Title

Ceo/Founder

Phone

(862) 930-3507

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Donna E Smith Consulting2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Expressions Behavioral Health Services

  dba Donna E Smith Consulting

  • Adult Mental Health Clinic/Center
  • East Orange, NJ
  • NPI 1386001469
  NPD tax ID

Locations

Practitioners 4

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.

• Donna E. Smith, LSW, LCADC, ICADC,

  • Social Worker
  • West Orange, NJ
  • NPI 1114110699

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Melanie Callender, PHD

  • Clinical Psychologist
  • Somerset, NJ
  • NPI 1851330955
  NPD (past)
• Nina Knight, LCSW, RPT-S, CCS

  • Social Worker
  • Woodbridge, NJ
  • NPI 1073015970
  NPD (past)
• Jayne Spengler, LCSW, LCADC

  • Clinical Social Worker
  • Somerset, NJ
  • NPI 1689994725

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1144695701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 EVERGREEN PL",
            "address_2": "SUITE 709",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182011",
            "telephone_number": "862-930-3507",
            "fax_number": "862-930-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 EVERGREEN PL",
            "address_2": "SUITE 709",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182011",
            "telephone_number": "862-930-3507",
            "fax_number": "862-930-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESSIONS BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "862-930-3507",
        "authorized_official_credential": "LCSW , LCADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00124200",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05478100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen East Orange, LLC (East Orange Adult Day Health Center)
• Evergreen Spine & Rehabilitation Center, LLC
• Excellence Medical Care, PC
• Excelrehab & Healthcare Staffing
• Express Enterprise (express health)
• Expressions Behavioral Health Services (Donna E Smith Consulting)
• Edwine L Exume, NP
• Edith N Eze, CNM
• James N Ezema, MD
• Amanda Fairbairn, PA-C

• Clinical Social Worker in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.