Breaking Dawn Counseling, Roseanna Bodner, LCSW L.L.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05272400 Issued in NJ

Legal business name

BREAKING DAWN COUNSELING, ROSEANNA BODNER, LCSW L.L.C.

Practice address

571 Route 168
Turnersville, NJ 08012-1458

Phone

(856) 534-3183

NPI assigned

Jan 17, 2015

Last updated

Jan 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roseanna Bodner, LCSW

Title

Executive Director

Phone

(856) 534-3183

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421452800000",
    "number": "1225427990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 BAYWOOD DR",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080942807",
            "telephone_number": "856-534-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 ROUTE 168",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121458",
            "telephone_number": "856-534-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKING DAWN COUNSELING, ROSEANNA BODNER, LCSW L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-17",
        "last_updated": "2015-01-17",
        "status": "A",
        "authorized_official_last_name": "BODNER",
        "authorized_official_first_name": "ROSEANNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-534-3183",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05272400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Meghan Bonewicz, PHYSICAL THARAPIST
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• Steven A Boorstein, PHARM.D.
• Richard C Bradley, DPM
• Breaking Boundaries Chiropractic Center
• Jaime Nicole Brennan
• Leslie F Breslau, LCSW
• William Joseph Brewer Jr., PA-C
• Kelly Brown-Kwubiri
• Taylor Bruno

• Clinical Social Worker in Turnersville, NJ
• Providers in Turnersville, 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 Jan 17, 2015; 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.