NPIMap

Organization Active NPI

Lighthouse Counseling & Sand Play Training Center, LLC

  • Clinical Social Worker
  • Eatontown, NJ
National Provider Identifier
1326268103
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04597600 Issued in NJ
Legal business name
LIGHTHOUSE COUNSELING & SAND PLAY TRAINING CENTER, LLC
Practice address
615 Hope Rd
Building 3a
Eatontown, NJ 07724-1277
Phone
(732) 380-1575
Fax
(732) 380-1578
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Authorized official

Name
Ms. Gretchen Morgan, MSW LCSWNPI 1760602528
Title
President
Phone
(732) 380-1575

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 44SC04971400 NJ
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 44SC04597600 NJ Primary

Addresses

Primary practice location

615 Hope Rd
Building 3a
Eatontown, NJ 07724-1277

Mailing address

615 Hope Rd
Building 3a
Eatontown, NJ 07724-1277
Phone (732) 380-1575

National Provider Directory

National Provider Directory

Locations

615 Hope Rd
Bldg 3A
Eatontown, NJ 07724
Phone (732) 380-1575

Practitioners & affiliated clinicians

Practitioners 4

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1326268103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 HOPE RD",
            "address_2": "BUILDING 3A",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241277",
            "telephone_number": "732-380-1575",
            "fax_number": "732-380-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 HOPE RD",
            "address_2": "BUILDING 3A",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241277",
            "telephone_number": "732-380-1575",
            "fax_number": "732-380-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE COUNSELING & SAND PLAY TRAINING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-380-1575",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04971400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04597600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.