NPIMap

Organization Active NPI

Child Play Therapy With a Family Connection LLC

  • Clinical Social Worker
  • Lebanon, NJ
National Provider Identifier
1225754088
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CHILD PLAY THERAPY WITH A FAMILY CONNECTION LLC
Practice address
1360 US Highway 22
Lebanon, NJ 08833-2232
Phone
(908) 236-2763
NPI assigned
Oct 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Michelle Ann Pinheiro, LCSW-SNPI 1235414251
Title
Owner
Phone
(908) 236-2763

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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1360 US Highway 22
Lebanon, NJ 08833-2232

Mailing address

1360 US Highway 22
Lebanon, NJ 08833-2232
Phone (908) 236-2763

National Provider Directory

National Provider Directory

Locations

1360 US Highway 22
Lebanon, NJ 08833
Phone (908) 236-2763

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1225754088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 US HIGHWAY 22",
            "city": "LEBANON",
            "state": "NJ",
            "postal_code": "088332232",
            "telephone_number": "908-236-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 US HIGHWAY 22",
            "city": "LEBANON",
            "state": "NJ",
            "postal_code": "088332232",
            "telephone_number": "908-236-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD PLAY THERAPY WITH A FAMILY CONNECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "PINHEIRO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-236-2763",
        "authorized_official_credential": "LCSW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.