Above Water Recovery LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ABOVE WATER RECOVERY LLC

Practice address

536 Maple Ave
Linwood, NJ 08221-1213

Phone

(609) 517-0423

NPI assigned

Aug 30, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Kerry J Sullivan, LCSW, LCADCNPI 1346097607

Title

Owner

Phone

(609) 513-2875

Specialties & licenses 1

Addresses

Other names 1

• Above Water Recovery LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kerry Sullivan, LSW LCADC ICGC-1

  • Social Worker
  • Linwood, NJ
  • NPI 1346097607
  NPD Authorized official

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1619701745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 MAPLE AVE",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211213",
            "telephone_number": "609-517-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 MAPLE AVE",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211213",
            "telephone_number": "609-517-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOVE WATER RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-513-2875",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, LCADC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Above Water Recovery LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Linwood, NJ
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.