NPIMap

Organization Active NPI

A.C. Angelwings Counseling LLC

  • Clinical Social Worker
  • Egg Harbor TWP, NJ
National Provider Identifier
1316532575
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
A.C. ANGELWINGS COUNSELING LLC
Practice address
209 Ontario Ave
Egg Harbor TWP, NJ 08234-4942
Phone
(609) 513-1140
NPI assigned
Mar 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Kidonia Nitsa Mavromatis, MSW, LCSWNPI 1780279935
Title
Owner
Phone
(609) 513-1140

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 Primary

Addresses

Primary practice location

209 Ontario Ave
Egg Harbor TWP, NJ 08234-4942

Mailing address

209 Ontario Ave
Egg Harbor TWP, NJ 08234-4942
Phone (609) 513-1140

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1316532575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 ONTARIO AVE",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082344942",
            "telephone_number": "609-513-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 ONTARIO AVE",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082344942",
            "telephone_number": "609-513-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.C. ANGELWINGS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "MAVROMATIS",
        "authorized_official_first_name": "KIDONIA",
        "authorized_official_middle_name": "NITSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-513-1140",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor TWP, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.