Active NPI
Changes a Psychotherapeutic Practice
- Clinical Social Worker
- Linwood, NJ
National Provider Identifier
1508074774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC01453300
- Legal business name
- CHANGES A PSYCHOTHERAPEUTIC PRACTICE
- Practice address
- 505 Hamilton Ave
Suite 103
Linwood, NJ 08221-1057 - Phone
- (609) 653-0665
- Fax
- (609) 926-8697
- NPI assigned
- May 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Altaffer, LCSW
- Title
- Owner
- Phone
- (609) 653-0665
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC01453300 | NJ | Primary |
Addresses
Primary practice location
505 Hamilton Ave
Suite 103
Linwood, NJ 08221-1057
Mailing address
411 W Edgewood Ave
Linwood, NJ 08221-1709
Phone (609) 653-0665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7704433 | Other | NJ | AETNA |
National Provider Directory
National Provider DirectoryLocations
505 Hamilton Ave
Ste 103
Linwood, NJ 08221
Phone (609) 653-0665
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Linwood, NJ
- NPI 1174731343
-
- Clinical Social Worker
- Santa Clara, CA
- NPI 1710195987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508074774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 W EDGEWOOD AVE",
"city": "LINWOOD",
"state": "NJ",
"postal_code": "082211709",
"telephone_number": "609-653-0665",
"fax_number": "609-926-8697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 HAMILTON AVE",
"address_2": "SUITE 103",
"city": "LINWOOD",
"state": "NJ",
"postal_code": "082211057",
"telephone_number": "609-653-0665",
"fax_number": "609-926-8697"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANGES A PSYCHOTHERAPEUTIC PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ALTAFFER",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "609-653-0665",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC01453300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7704433",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Linwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.