Dorith Prutchi, MSS, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05551500 Issued in NJ

Practice address

140 S Broadway
#7
Pitman, NJ 08071-2235

Phone

(844) 365-7676

Fax

(844) 365-7676

NPI assigned

Sep 10, 2013

Last updated

Oct 27, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Circle of Life Counceling, LLC

  • Community/Behavioral Health Agency
  • Pitman, NJ
  • NPI 1821469271
  Authorized official Same address or phone

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1275968190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 N",
            "address_2": "SUITE 104",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533422",
            "telephone_number": "609-510-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S BROADWAY",
            "address_2": "#7",
            "city": "PITMAN",
            "state": "NJ",
            "postal_code": "080712235",
            "telephone_number": "844-365-7676",
            "fax_number": "844-365-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUTCHI",
        "first_name": "DORITH",
        "name_prefix": "Mrs.",
        "credential": "MSS, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05551500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pitman Manor Inc (United Methodist Communities at Pitman)
• Pitman Manor, Inc. (United Methodist Communities at Pitman)
• Pitman Pharmacy Inc (Pitman Pharmacy)
• Pitman Public Schools
• Positive State Psychological & Behavioral Services, LLC
• Andrew Lawrence Putter, D.M.D.
• Real Life Stars
• Rebel Healer Counseling LLC
• Reconstructive Orthopedics, PA
• Reflections Counseling & Wellness

• Clinical Social Worker in Pitman, NJ
• Providers in Pitman, 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 Oct 27, 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.