JLF Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JLF COUNSELING, LLC

Practice address

324 Belleville Ave
Bloomfield, NJ 07003-3554

Phone

(201) 463-3921

NPI assigned

Apr 14, 2016

Last updated

Apr 14, 2016By 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

Jerry L Fuller Jr., LCSW LCADC

Title

Owner

Phone

(201) 463-3921

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1699129866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 BELLEVILLE AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033554",
            "telephone_number": "201-463-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 BELLEVILLE AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033554",
            "telephone_number": "201-463-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLF COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-463-3921",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW LCADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Bloomfield, NJ
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• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.