Take 2 Counseling & Coaching, LLC.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05777200 Issued in NJ

Legal business name

TAKE 2 COUNSELING & COACHING, LLC.

Practice address

3010 Bordentown Ave Ste B2
Parlin, NJ 08859-1181

Phone

(732) 365-3933

NPI assigned

Aug 9, 2018

Organization subpart

No

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

Authorized official

Name

Jelysa Deserio, LCSWNPI 1437644481

Title

Clinical Social Worker

Phone

(732) 754-2846

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jelysa Deserio, LCSW

  • Clinical Social Worker
  • Parlin, NJ
  • NPI 1437644481
  NPD Authorized official
• Wanda Enit Hernandez, LSW

  • Social Worker
  • Parlin, NJ
  • NPI 1639644040
  NPD (past)

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1770062846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 LORTON COURT",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "08857",
            "telephone_number": "732-754-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 BORDENTOWN AVE STE B2",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591181",
            "telephone_number": "732-365-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKE 2 COUNSELING & COACHING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "DESERIO",
        "authorized_official_first_name": "JELYSA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "732-754-2846",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05777200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dhaval Sojitra
• Markian L Sonevytsky, PT
• Addi Zefania Stein, D.D.S.
• Daron Stephens, LPC, LCADC
• Sandeep K Suri, OTR, OTD. CHT
• Samir Talati, R.PH.
• The Younan Group PA
• Arjun K Theertham, MD
• Theracare
• Dean A Thompson, PT, DPT

• Clinical Social Worker in Parlin, NJ
• Providers in Parlin, 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 Aug 9, 2018; 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.