Breeze Recovery LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05279200 Issued in NJ

Legal business name

BREEZE RECOVERY LLC

Practice address

359 96TH St
Suite 302
Stone Harbor, NJ 08247-1409

Phone

(609) 675-6907

Fax

(844) 657-9591

NPI assigned

Jul 14, 2016

Organization subpart

No

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

Authorized official

Name

Diana L Akeret, LCSW, LCADCNPI 1134304835

Title

Owner

Phone

(609) 675-6907

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Diana L Akeret, LCSW

  • Clinical Social Worker
  • Stone Harbor, NJ
  • NPI 1134304835
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1205289287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082100123",
            "telephone_number": "609-675-6907",
            "fax_number": "844-657-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 96TH ST",
            "address_2": "SUITE 302",
            "city": "STONE HARBOR",
            "state": "NJ",
            "postal_code": "082471409",
            "telephone_number": "609-675-6907",
            "fax_number": "844-657-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREEZE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "AKERET",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-675-6907",
        "authorized_official_credential": "LCSW, LCADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05279200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Stone Harbor, NJ
• Providers in Stone Harbor, 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 Apr 19, 2017; 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.