Triangle Psychotherapies & Consultation LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05455100 Issued in NJ

Legal business name

TRIANGLE PSYCHOTHERAPIES & CONSULTATION LLC

Practice address

1164 Raritan Ave
Highland Park, NJ 08904-3653

Phone

(216) 346-3469

Fax

(216) 346-3469

NPI assigned

Dec 4, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jerald Eugene Floersch, LCSWNPI 1417902651

Title

Partner

Phone

(216) 346-3469

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 1

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

• Jerald E Floersch, PH.D., LCSW

  • Clinical Social Worker
  • Lawrence, KS
  • NPI 1417902651
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1336654094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 RARITAN AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089043653",
            "telephone_number": "216-346-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 RARITAN AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089043653",
            "telephone_number": "216-346-3469",
            "fax_number": "216-346-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE PSYCHOTHERAPIES & CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "FLOERSCH",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "216-346-3469",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05455100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Highland Park, NJ
• Providers in Highland Park, 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 Dec 4, 2017; 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.

Verify at the official NPI Registry.