Prime Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC0538300 Issued in NJ

Legal business name

PRIME COUNSELING, LLC

Practice address

187 Washington Ave Ste 2C
Nutley, NJ 07110-3935

Phone

(862) 201-9127

NPI assigned

May 21, 2009

Last updated

May 21, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Victor M Alvarez, LCSWNPI 1871728758

Title

Co-Owner

Phone

(862) 201-9127

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victor Manuel Alvarez, LCSW

  • Clinical Social Worker
  • Nutley, NJ
  • NPI 1871728758
  NPD (past) Authorized official
• Vanessa Matos, LPC

  • Professional Counselor
  • Nutley, NJ
  • NPI 1225267008
  NPD (past)

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1396970273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 DEWITT AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092753",
            "telephone_number": "862-201-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 WASHINGTON AVE STE 2C",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103935",
            "telephone_number": "862-201-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "862-201-9127",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05263200",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC0538300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Nutley, NJ
• Providers in Nutley, 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 May 21, 2009; 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.