Active NPI
Your Time for Change
- Clinical Social Worker
- Toms River, NJ
National Provider Identifier
1316509573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- YOUR TIME FOR CHANGE
- Practice address
- 1035 Hooper Ave Ste 2a
Toms River, NJ 08753-8355 - Phone
- (732) 600-0489
- NPI assigned
- Jul 8, 2019
- Last updated
- Jul 8, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robin Aniboli, LCSW
- Title
- Owner
- Phone
- (732) 600-0489
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary | |
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
1035 Hooper Ave Ste 2a
Toms River, NJ 08753-8355
Mailing address
2557 Holly Hill Rd
Manchester, NJ 08759-6201
Phone (732) 600-0489
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.psychologytoday.com/us/therapists/your-time-for-change-toms-river-nj/438892 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Toms River, NJ
- NPI 1366976045
-
- Social Worker
- Toms River, NJ
- NPI 1558783241
-
- Clinical Social Worker
- Lakehurst, NJ
- NPI 1205166105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562544000000",
"number": "1316509573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2557 HOLLY HILL RD",
"city": "MANCHESTER",
"state": "NJ",
"postal_code": "087596201",
"telephone_number": "732-600-0489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 HOOPER AVE STE 2A",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087538355",
"telephone_number": "732-600-0489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUR TIME FOR CHANGE",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-08",
"last_updated": "2019-07-08",
"status": "A",
"authorized_official_last_name": "ANIBOLI",
"authorized_official_first_name": "ROBIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-600-0489",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.psychologytoday.com/us/therapists/your-time-for-change-toms-river-nj/438892",
"affiliation": "N",
"address_1": "1035 Hooper Ave Ste 2A",
"city": "Toms River",
"state": "NJ",
"country_code": "US",
"postal_code": "087538355",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.