Antonelli & Associates, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC01019700 Issued in NJ

Legal business name

ANTONELLI & ASSOCIATES, INC.

Practice address

2400 McClellan Blvd
Suite 101 East
Pennsauken, NJ 08109-4609

Phone

(856) 488-9595

Fax

(856) 488-9595

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Christine Marie Antonelli, DSW, LCSW

Title

President

Phone

(856) 488-9595

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366467292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MCCLELLAN BLVD",
            "address_2": "SUITE 101 EAST",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081094609",
            "telephone_number": "856-488-9595",
            "fax_number": "856-488-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MCCLELLAN BLVD",
            "address_2": "SUITE 101 EAST",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081094609",
            "telephone_number": "856-488-9595",
            "fax_number": "856-488-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONELLI & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANTONELLI",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-488-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01019700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0094676",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Pennsauken, NJ
• Providers in Pennsauken, 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 Aug 22, 2020; 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.