Wellspring Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00432100 Issued in NJ

Legal business name

WELLSPRING CENTER LLC

Practice address

18C S Centre St
Merchantville, NJ 08109-2203

Phone

(856) 662-1660

Fax

(856) 662-6110

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Paula L Ryan, MSW

Title

Clinical Social Worker

Phone

(856) 662-1660

Specialties & licenses 1

Addresses

Other names 1

• Wellspring Counseling Center, Inc Former legal business name

Locations

Practitioners 1

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

• Elaine M. Prendergast, L.C.S.W.

  • Clinical Social Worker
  • Merchantville, NJ
  • NPI 1346378858
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194868737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18C S CENTRE ST",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "081092203",
            "telephone_number": "856-662-1660",
            "fax_number": "856-662-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18C S CENTRE ST",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "081092203",
            "telephone_number": "856-662-1660",
            "fax_number": "856-662-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "856-662-1660",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00432100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspring Counseling Center, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lacondia Sundiata
• Two Hearts Community Services
• Kathryn E Valenzano, NP
• Vine Community
• John A. Wallace, DPM
• Christina J White, LPN
• John G Wilson, M.D.
• Your Health Now LLC

• Clinical Social Worker in Merchantville, NJ
• Providers in Merchantville, 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 22, 2020; 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.