Organization Active NPI

Family and Children Empowerment Therapy Services

  • Clinical Social Worker
  • Lakewood, NJ
National Provider Identifier
1609283894
Registry record updated Jul 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05348000 Issued in NJ
Legal business name
FAMILY AND CHILDREN EMPOWERMENT THERAPY SERVICES
Practice address
304 Twin Oaks Dr
Lakewood, NJ 08701-7155
Phone
(732) 626-0484
Fax
(732) 626-0484
NPI assigned
Jul 20, 2014
Last updated
Jul 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2014

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

Authorized official

Name
Mrs. Bracha Daum, LCSWNPI 1295039014
Title
Director
Phone
(732) 626-0484

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)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05348000 NJ Primary

Addresses

Primary practice location

304 Twin Oaks Dr
Lakewood, NJ 08701-7155

Mailing address

304 Twin Oaks Dr
Lakewood, NJ 08701-7155
Phone (732) 626-0484

Other names 1

  • FACETS Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1405814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405814400000",
    "number": "1609283894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 TWIN OAKS DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087017155",
            "telephone_number": "732-626-0484",
            "fax_number": "732-626-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 TWIN OAKS DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087017155",
            "telephone_number": "732-626-0484",
            "fax_number": "732-626-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND CHILDREN EMPOWERMENT THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-20",
        "last_updated": "2014-07-20",
        "status": "A",
        "authorized_official_last_name": "DAUM",
        "authorized_official_first_name": "BRACHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-626-0484",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05348000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FACETS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2014; 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.