Organization Active NPI

Corporate Family Resources, Inc.

  • Clinical Social Worker
  • Ridgewood, NJ
National Provider Identifier
1487816492
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01275500 Issued in NJ
Legal business name
CORPORATE FAMILY RESOURCES, INC.
Practice address
15 Godwin Ave
Suite 1
Ridgewood, NJ 07450-3739
Phone
(201) 670-0269
Fax
(201) 670-4093
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Mrs. Lynne Ethel Clements, L.C.S.W., M.S.W.
Title
President
Phone
(201) 670-0269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC01275500 NJ Primary

Addresses

Primary practice location

15 Godwin Ave
Suite 1
Ridgewood, NJ 07450-3739

Mailing address

15 Godwin Ave
Suite 1
Ridgewood, NJ 07450-3739
Phone (201) 670-0269

National Provider Directory

National Provider Directory

Locations

45 N Broad St
Ste 402
Ridgewood, NJ 07450
Phone (201) 670-0269

15 Godwin Ave
Ste 1
Ridgewood, NJ 07450
Phone (201) 670-0269

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1487816492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GODWIN AVE",
            "address_2": "SUITE 1",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503739",
            "telephone_number": "201-670-0269",
            "fax_number": "201-670-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GODWIN AVE",
            "address_2": "SUITE 1",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503739",
            "telephone_number": "201-670-0269",
            "fax_number": "201-670-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORATE FAMILY RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "ETHEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-670-0269",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.C.S.W., M.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01275500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.