James T Southard, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL05150000 Issued in NJ

Practice address

218A Sunset Rd
Screening Crisis & Intervention Program
Willingboro, NJ 08046-1110

Phone

(609) 835-6180

Fax

(609) 835-7962

NPI assigned

Apr 21, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240272000000",
    "number": "1285878231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 ROUTE 38",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362730",
            "telephone_number": "609-267-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218A SUNSET RD",
            "address_2": "SCREENING CRISIS & INTERVENTION PROGRAM",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461110",
            "telephone_number": "609-835-6180",
            "fax_number": "609-835-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHARD",
        "first_name": "JAMES",
        "middle_name": "T",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "NONE",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05150000",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "S-2219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael T Snyder, M.D.
• Oluyemisi Omolara Sokunbi-Jones
• Son Light Pediatrics
• Son Light Pediatrics PC
• Andrea C. Soukup
• Chontay Spearman
• Andrea Annette Spence, LCSW-R, CCM
• Catherine Scott Spielberger, NP
• Leslie Squires, MD
• Jane C St John, NURSE

• Social Worker in Willingboro, NJ
• Providers in Willingboro, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.