Three Rivers Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THREE RIVERS SERVICES

Practice address

198 Cedar Ave
Tuckerton, NJ 08087-1407

Phone

(609) 857-3705

NPI assigned

Apr 1, 2021

Organization subpart

No

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

Authorized official

Name

David R Julian

Title

Ceo

Phone

(609) 857-3705

Specialties & licenses 1

Addresses

Other names 1

• Three Rivers Services Former legal business name

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1780262477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 CEDAR AVE",
            "city": "TUCKERTON",
            "state": "NJ",
            "postal_code": "080871407",
            "telephone_number": "609-857-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 CEDAR AVE",
            "city": "TUCKERTON",
            "state": "NJ",
            "postal_code": "080871407",
            "telephone_number": "609-857-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "JULIAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-857-3705"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Rivers Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mary R. Roberts, PH.D.
• Justin Roldan, OTR/L
• Kimberly Sirolli
• Ashley R Stackhouse
• The Arc Ocean County Chapter, Inc. (Adult Training Center Tuckerton)
• Kaitlyn Tweed, OT
• Amani D White
• Marlene Maggio Wolfarth, MSW

• Clinical Social Worker in Tuckerton, NJ
• Providers in Tuckerton, 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 Jun 17, 2021; 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.