NPIMap

Organization Active NPI

Growth Counseling Center

  • Clinical Social Worker
  • South Orange, NJ
National Provider Identifier
1265629182
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05264700 Issued in NJ
Legal business name
GROWTH COUNSELING CENTER
Practice address
10 W South Orange Ave
South Orange, NJ 07079-1728
Phone
(973) 688-8858
Fax
(973) 368-8859
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Ms. Carin MartucciNPI 1245704329
Title
LCSW
Phone
(973) 688-8858

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 44SC05264700 NJ Primary

Addresses

Primary practice location

10 W South Orange Ave
South Orange, NJ 07079-1728

Mailing address

10 W South Orange Ave FL 2
South Orange, NJ 07079-1728
Phone (973) 688-8858

National Provider Directory

National Provider Directory

Locations

10 W South Orange Ave
South Orange, NJ 07079
Phone (973) 688-8858

10 W South Orange Ave
Fl 2
South Orange, NJ 07079
Phone (973) 688-8857

Practitioners & affiliated clinicians

Practitioners 2

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": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1265629182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W SOUTH ORANGE AVE FL 2",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791728",
            "telephone_number": "973-688-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W SOUTH ORANGE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791728",
            "telephone_number": "973-688-8858",
            "fax_number": "973-368-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWTH COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "MARTUCCI",
        "authorized_official_first_name": "CARIN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "973-688-8858",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05264700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.