Resilience, Grit and Mindset LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RESILIENCE, GRIT AND MINDSET LLC

Practice address

1 Executive Dr
Marlton, NJ 08053-4278

Phone

(215) 908-3613

NPI assigned

Aug 15, 2026

Last updated

Aug 15, 2026By 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

Joseph Gary Williams, LCSWNPI 1073999512

Title

Ceo

Phone

(215) 908-3613

Specialties & licenses 1

Addresses

Locations

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.

• Joseph Gary Williams, LSW

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1073999512
  NPD (past) Authorized official

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

{
    "created_epoch": "1786752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786752000000",
    "number": "1154236131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 W DAKOTA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312414",
            "telephone_number": "215-908-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534278",
            "telephone_number": "215-908-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE, GRIT AND MINDSET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-15",
        "last_updated": "2026-08-15",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-908-3613",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Annette Reighn Peery, DVM
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• Eric Robert Requa, D.O.
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• Kelly Ann Rettberg, LPC
• Revascmedprofessional NJ LLC (Revamp)
• Revive & Thrive Counseling

• Clinical Social Worker in Marlton, NJ
• Providers in Marlton, 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 Aug 15, 2026; 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.