Organization Active NPI

South Jersey Counseling Associates, Inc.

  • Clinical Social Worker
  • Haddonfield, NJ
National Provider Identifier
1235282385
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01370200 Issued in NJ
Legal business name
SOUTH JERSEY COUNSELING ASSOCIATES, INC.
Practice address
501 N Haddon Ave
Suite 4
Haddonfield, NJ 08033-1753
Phone
(856) 354-8525
Fax
(856) 354-0830
NPI assigned
Jan 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Authorized official

Name
Dr. Amber Thani Samaroo, PH. D., LCSW
Title
Executive Director
Phone
(856) 354-8525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC01370200 NJ Primary

Addresses

Primary practice location

501 N Haddon Ave
Suite 4
Haddonfield, NJ 08033-1753

Mailing address

501 N Haddon Ave
Suite 4
Haddonfield, NJ 08033-1753
Phone (856) 354-8525

National Provider Directory

National Provider Directory

Locations

20 Warwick Rd
Haddonfield, NJ 08033
Phone (609) 354-8582

501 N Haddon Ave
Ste 4
Haddonfield, NJ 08033
Phone (856) 354-8525

NPI Registry JSON

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1235282385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N HADDON AVE",
            "address_2": "SUITE 4",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331753",
            "telephone_number": "856-354-8525",
            "fax_number": "856-354-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N HADDON AVE",
            "address_2": "SUITE 4",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331753",
            "telephone_number": "856-354-8525",
            "fax_number": "856-354-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY COUNSELING ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-20",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "SAMAROO",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "THANI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-354-8525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D., LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01370200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddonfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.