South Jersey Therapy Collective LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SOUTH JERSEY THERAPY COLLECTIVE LLC

Practice address

101 E Main St Ste 203
Moorestown, NJ 08057-2920

Phone

(609) 225-9641

Fax

(609) 225-9641

NPI assigned

Jul 16, 2020

Organization subpart

No

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

Authorized official

Name

Jessica M Floresta, LCSWNPI 1821440843

Title

Owner/Psychotherapist

Phone

(609) 225-9641

Specialties & licenses 3

Addresses

Other names 1

• Moorestown Therapy Collective Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Maria Floresta, LCSW, CST-S

  • Clinical Social Worker
  • Moorestown, NJ
  • NPI 1821440843
  NPD Authorized official
• Dana Nicole Vitrano

  • Psychologist
  • Moorestown, NJ
  • NPI 1841889615
  NPD
• Monica Maher, LCSW

  • Clinical Social Worker
  • Cherry Hill, NJ
  • NPI 1649862939
  NPD (past)
• Jesse Geguzis, LSW, MED.

  • Social Worker
  • Philadelphia, PA
  • NPI 1801501267
  NPD (past)

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1306454376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 MANTUA PIKE, STE 701",
            "address_2": "PMB 172",
            "city": "MANTUA",
            "state": "NJ",
            "postal_code": "08051",
            "telephone_number": "609-225-9641",
            "fax_number": "609-225-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MAIN ST STE 203",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572920",
            "telephone_number": "609-225-9641",
            "fax_number": "609-225-9641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2133 Arch St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191031350",
            "country_code": "US",
            "telephone_number": "609-225-9641 x3",
            "fax_number": "609-225-9641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH JERSEY THERAPY COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "FLORESTA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "609-225-9641",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moorestown Therapy Collective",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moorestown Therapy Collective",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Christine Spuler, PT, DPT
• Aashish Sreeram, PHARMD
• Lisa Adams Stackhouse, DO

• Clinical Social Worker in Moorestown, NJ
• Providers in Moorestown, 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 10, 2023; 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.