Organization Active NPI

R.E.a.L. Therapy LLC

  • Clinical Social Worker
  • Ewing, NJ
National Provider Identifier
1336719368
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
R.E.A.L. THERAPY LLC
Practice address
100 Campus Town Cir Ste 103
Ewing, NJ 08638-1962
Phone
(609) 552-7325
Fax
(609) 594-1200
NPI assigned
Jun 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Authorized official

Name
Tiana Savage, LCSWNPI 1295354884
Title
Owner/President
Phone
(609) 963-5051

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: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

100 Campus Town Cir Ste 103
Ewing, NJ 08638-1962

Mailing address

566 Bellevue Ave
Trenton, NJ 08618-4402
Phone (609) 963-5051

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": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1336719368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 BELLEVUE AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086184402",
            "telephone_number": "609-963-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAMPUS TOWN CIR STE 103",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086381962",
            "telephone_number": "609-552-7325",
            "fax_number": "609-594-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.E.A.L. THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "TIANA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "609-963-5051",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.