Organization Active NPI

Dr. TCL Counseling Services, LLC

  • Clinical Social Worker
  • Willingboro, NJ
National Provider Identifier
1649875147
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DR. TCL COUNSELING SERVICES, LLC
Practice address
77 Holstone LN
Willingboro, NJ 08046-1817
Phone
(609) 789-0163
Fax
(973) 536-1907
NPI assigned
Dec 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Authorized official

Name
Miss J. Sharon Dawkins
Title
Office Manager
Phone
(609) 789-0163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

77 Holstone LN
Willingboro, NJ 08046-1817

Mailing address

77 Holstone LN
Willingboro, NJ 08046-1817
Phone (609) 789-0163

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1649875147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 HOLSTONE LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461817",
            "telephone_number": "609-789-0163",
            "fax_number": "973-536-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HOLSTONE LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461817",
            "telephone_number": "609-789-0163",
            "fax_number": "973-536-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TCL COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "DAWKINS",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "SHARON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "609-789-0163",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.