The Trauma Center of South Jersey

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05635200 Issued in NJ

Legal business name

THE TRAUMA CENTER OF SOUTH JERSEY

Practice address

860 Route 168 Ste 104
Turnersville, NJ 08012-3224

Phone

(856) 498-6624

NPI assigned

Feb 7, 2017

Last updated

Feb 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeanine Dunn, LCSW

Title

Therapist/Owner

Phone

(856) 498-6624

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1679011860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 ROUTE 168 STE 104",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080123224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 ROUTE 168 STE 104",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080123224",
            "telephone_number": "856-498-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TRAUMA CENTER OF SOUTH JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "856-498-6624",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05635200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Turnersville, NJ
• Providers in Turnersville, 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 Feb 8, 2017; 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.