Organization Active NPI

Welcome Wellness & Therapy Services LLC

  • Clinical Social Worker
  • South Orange, NJ
National Provider Identifier
1174376784
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WELCOME WELLNESS & THERAPY SERVICES LLC
Practice address
462 Irvington Ave
South Orange, NJ 07079-2540
Phone
(973) 879-0693
NPI assigned
Apr 11, 2024
Last updated
Apr 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Sherrill Welcome, LCSWNPI 1457068264
Title
Sole Owner
Phone
(973) 879-0693

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)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

462 Irvington Ave
South Orange, NJ 07079-2540

Mailing address

462 Irvington Ave
South Orange, NJ 07079-2540
Phone (973) 879-0693

Other names 1

  • Sherrill Welcome, LCSW Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240430002917 NJ Part B Supplier - Clinic/Group Practice 5092155614 Receives reassigned benefits from 1 practitioner
Practice locations: South Orange, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1174376784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 IRVINGTON AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792540",
            "telephone_number": "973-879-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 IRVINGTON AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792540",
            "telephone_number": "973-879-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELCOME WELLNESS & THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "WELCOME",
        "authorized_official_first_name": "SHERRILL",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "973-879-0693",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sherrill Welcome, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.