Active NPI
Full Circle Counseling, LLC
- Social Worker
- Lincoln Park, NJ
National Provider Identifier
1174788715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SC04697500
- Legal business name
- FULL CIRCLE COUNSELING, LLC
- Practice address
- 63 Beaverbrook Rd
Suite 206
Lincoln Park, NJ 07035-1440 - Phone
- (973) 694-1950
- Fax
- (973) 694-1952
- NPI assigned
- Jul 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jordan Brown, MSW, LSW
- Title
- Owner/Therapist/Provider
- Phone
- (201) 370-6906
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SC04697500 | NJ | Primary |
Addresses
Primary practice location
63 Beaverbrook Rd
Suite 206
Lincoln Park, NJ 07035-1440
Mailing address
63 Beaverbrook Rd
Suite 206
Lincoln Park, NJ 07035-1440
Phone (973) 694-1950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0161454 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
63 Beaverbrook Rd
Ste 206
Lincoln Park, NJ 07035
Phone (201) 247-3925
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Brick, NJ
- NPI 1922263409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216771200000",
"number": "1174788715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 BEAVERBROOK RD",
"address_2": "SUITE 206",
"city": "LINCOLN PARK",
"state": "NJ",
"postal_code": "070351440",
"telephone_number": "973-694-1950",
"fax_number": "973-694-1952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 BEAVERBROOK RD",
"address_2": "SUITE 206",
"city": "LINCOLN PARK",
"state": "NJ",
"postal_code": "070351440",
"telephone_number": "973-694-1950",
"fax_number": "973-694-1952"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULL CIRCLE COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-23",
"last_updated": "2008-07-23",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "JORDAN",
"authorized_official_title_or_position": "OWNER/THERAPIST/PROVIDER",
"authorized_official_telephone_number": "201-370-6906",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSW, LSW"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": "NJ",
"license": "44SC04697500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0161454",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.