NPIMap

Organization Active NPI

South Jersey Wellness Center

  • Counselor
  • Marlton, NJ
National Provider Identifier
1619209038
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
37PC00050000 Issued in NJ
Legal business name
SOUTH JERSEY WELLNESS CENTER
Practice address
19 E Main St
Marlton, NJ 08053-2172
Phone
(856) 985-9091
Fax
(856) 985-9092
NPI assigned
Feb 10, 2010
Last updated
Feb 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Authorized official

Name
Margaret Clark Soriano, LPCNPI 1912280645
Title
Director
Phone
(856) 985-9091

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 37PC00050000 NJ Primary

Addresses

Primary practice location

19 E Main St
Marlton, NJ 08053-2172

Mailing address

19 E Main St
Marlton, NJ 08053-2172
Phone (856) 985-9091

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": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1619209038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E MAIN ST",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532172",
            "telephone_number": "856-985-9091",
            "fax_number": "856-985-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E MAIN ST",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532172",
            "telephone_number": "856-985-9091",
            "fax_number": "856-985-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "CLARK SORIANO",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "856-985-9091",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC00050000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.