Psychological Counseling and Empowerment

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05721800 Issued in NJ

Legal business name

PSYCHOLOGICAL COUNSELING AND EMPOWERMENT

Practice address

71 Franklin Tpke Ste 1-2
Waldwick, NJ 07463-1800

Phone

(917) 612-7100

Fax

(201) 943-8859

NPI assigned

Jun 14, 2017

Organization subpart

No

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

Authorized official

Name

Elena Kardonsky, LCSW

Title

Therapist

Phone

(917) 612-7100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497398400000",
    "number": "1447780226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 JEFFERSON AVE",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701932",
            "telephone_number": "917-612-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 FRANKLIN TPKE STE 1-2",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631800",
            "telephone_number": "917-612-7100",
            "fax_number": "201-943-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL COUNSELING AND EMPOWERMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A",
        "authorized_official_last_name": "KARDONSKY",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "917-612-7100",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05721800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Waldwick, NJ
• Providers in Waldwick, 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 Jun 14, 2017; 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.