Organization Active NPI

Live Well Counseling and Training

  • Clinical Social Worker
  • Somers Point, NJ
National Provider Identifier
1225795214
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIVE WELL COUNSELING AND TRAINING
Practice address
505 New Rd Ste 3
Somers Point, NJ 08244-2049
Phone
(609) 206-7435
NPI assigned
Nov 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Authorized official

Name
Mrs. Theresa Wray, LCSWNPI 1619372463
Title
Therapist
Phone
(609) 206-7435

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

505 New Rd Ste 3
Somers Point, NJ 08244-2049

Mailing address

15 Sea Sounds Ave
Marmora, NJ 08223-1018
Phone (609) 206-7435

National Provider Directory

National Provider Directory

Locations

505 New Rd
Ste 3
Somers Point, NJ 08244
Phone (609) 206-7435

Practitioners & affiliated clinicians

Practitioners 1

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": "1637712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1225795214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SEA SOUNDS AVE",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231018",
            "telephone_number": "609-206-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NEW RD STE 3",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442049",
            "telephone_number": "609-206-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL COUNSELING AND TRAINING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "WRAY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "609-206-7435",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "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 Somers Point, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.