Healing Minds Clinical Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05542700 Issued in NJ

Legal business name

HEALING MINDS CLINICAL SERVICES LLC

Practice address

57 Broad St Apt 3E
Matawan, NJ 07747-2531

Phone

(848) 229-5971

NPI assigned

Apr 26, 2016

Organization subpart

No

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

Authorized official

Name

Nicole Hayes, LCSW

Title

Licensed Clinical Social Worker

Phone

(848) 229-5971

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1538514690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 BROAD ST APT 3E",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472531",
            "telephone_number": "848-229-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 BROAD ST APT 3E",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472531",
            "telephone_number": "848-229-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING MINDS CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "848-229-5971",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05542700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pegeen Hansen, LPC
• Sharon Harris Jackson
• Chrystian Harris
• Haven Wellness Clinic LLC
• Michael E Hayes, O.D.
• Health Resources of Emery, LLC (Madison Center)
• Brandi Heasty, OTR/L
• Mariam Hegel, SP. ED.
• Jacalyn Held, MSW
• Charlotte Grace Helfgott

• Clinical Social Worker in Matawan, NJ
• Providers in Matawan, 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 Apr 26, 2016; 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.