Courtney Anderson-Harvey, LCSW

Individual provider Active NPI Clinical Social Worker · Springfield, NJ

NPI 1396385191 · NPPES record last updated Jan 9, 2020

Key facts

NPI
1396385191
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
44SC05890400 (NJ)
Practice address
212 Short Hills Ave
Springfield, NJ 07081-1040
Phone
(862) 307-9035
NPI assigned
Jan 9, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
44SC05890400NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A Resting Place Counseling LLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05890400 NJ Yes

Addresses

Primary practice location

212 Short Hills Ave
Springfield, NJ 07081-1040

Mailing address

906 Leesville Ave
Rahway, NJ 07065-4828

Other providers in Springfield, NJ

All providers in Springfield, NJ · Clinical Social Worker in New Jersey

Sources for this page

Verify at the official NPI Registry.