Peaceful Soul Therapeutic Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PEACEFUL SOUL THERAPEUTIC SERVICES

Practice address

535 Route 38 Ste 149C
Cherry Hill, NJ 08002-2953

Phone

(856) 655-6635

NPI assigned

Jun 10, 2021

Last updated

Oct 1, 2021By 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

Shannon Martello, LCSW LCADCNPI 1952883886

Title

Owner

Phone

(856) 267-0499

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Shannon Lynn Martello

  • Clinical Social Worker
  • Cherry Hill, NJ
  • NPI 1952883886
  NPD Authorized official

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1477121028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 ROUTE 38 EAST",
            "address_2": "SUITE 149C",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080020811",
            "telephone_number": "856-267-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 ROUTE 38 STE 149C",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022953",
            "telephone_number": "856-655-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL SOUL THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "MARTELLO",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-267-0499",
        "authorized_official_credential": "LCSW LCADC"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Cheney Paulson, MSW, LSW,
• Andriy Pavlenko, MD
• Pax Lumen Behavioral Health Solutions, LLC
• Eden Christine Payabyab
• Jaime Catindig Paz, RN
• Franklin John Pearce
• Sharon K. Pearl, M.A.,C.C.C.-S.L.P.
• Laurie Allison Pearman, OTR/L
• Jennifer Pearson, LPC
• Christopher A. Peasley, PT

• Clinical Social Worker in Cherry Hill, NJ
• Providers in Cherry Hill, 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 Oct 1, 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.