Twin Rivers Psychotherapy Associates

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05541800 Issued in NJ

Legal business name

TWIN RIVERS PSYCHOTHERAPY ASSOCIATES

Practice address

39 Avenue at the CMN
Suite 106
Shrewsbury, NJ 07702-4807

Phone

(732) 788-7835

Fax

(732) 865-7190

NPI assigned

Mar 24, 2015

Organization subpart

No

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

Authorized official

Name

Jason O'Donnell, LCSWNPI 1033557137

Title

Owner

Phone

(732) 788-7835

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 3

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

• Jason O'Donnell, LCSW

  • Clinical Social Worker
  • Shrewsbury, NJ
  • NPI 1033557137
  Medicare reassignment Authorized official
• Diana Marinaro, LCSW

  • Clinical Social Worker
  • Shrewsbury, NJ
  • NPI 1669505038
  Medicare reassignment NPD
• Gina Marie Diarchangel, LCSW

  • Clinical Social Worker
  • Red Bank, NJ
  • NPI 1720397912
  Medicare reassignment

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1154715449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 MONROE AVE",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024017",
            "telephone_number": "732-788-7835",
            "fax_number": "732-865-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 AVENUE AT THE CMN",
            "address_2": "SUITE 106",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024807",
            "telephone_number": "732-788-7835",
            "fax_number": "732-865-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN RIVERS PSYCHOTHERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-788-7835",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05541800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1033557137",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trotter Foot and Ankle Co
• Kathleen Quinerly Trotter, DPM
• Kathryn Cordero Tumbokon, PA-C
• Rose Anne Turiano, PSY.D.
• Samantha P. Twidle, LSW
• Urology Associates, PA
• Valerie Magrino, Psychiatric Nurse Practitioner, LLC
• Jae-Marie Valerio, PA-C
• Peter C Valko, MD
• Kathleen Veneziano, OTR

• Clinical Social Worker in Shrewsbury, NJ
• Providers in Shrewsbury, 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 Mar 27, 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.