NPIMap

Organization Active NPI

Tri-County Behavioral Care, LLC

  • Clinical Social Worker
  • Sparta, NJ
National Provider Identifier
1750732350
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TRI-COUNTY BEHAVIORAL CARE, LLC
Practice address
172 Woodport Rd
Suite D
Sparta, NJ 07871-2611
Phone
(973) 691-3030
NPI assigned
Jun 24, 2016
Last updated
Jun 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Authorized official

Name
Kelly CanzoneNPI 1316992977
Title
Owner
Phone
(973) 691-3030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

172 Woodport Rd
Suite D
Sparta, NJ 07871-2611

Mailing address

21 US Highway 206
#2
Stanhope, NJ 07874-3275

National Provider Directory

National Provider Directory

Locations

172 Woodport Rd
Ste D
Sparta, NJ 07871

Practitioners & affiliated clinicians

Practitioners 6

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": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1750732350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 US HIGHWAY 206",
            "address_2": "#2",
            "city": "STANHOPE",
            "state": "NJ",
            "postal_code": "078743275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 WOODPORT RD",
            "address_2": "SUITE D",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712611",
            "telephone_number": "973-691-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY BEHAVIORAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "CANZONE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-691-3030"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.