Organization Active NPI

Penny Page, LCSW & Associates, PA

  • Clinical Social Worker
  • Woodbury, NJ
National Provider Identifier
1780747337
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00084600 Issued in NJ
Legal business name
PENNY PAGE, LCSW & ASSOCIATES, PA
Practice address
55 Newton Ave
Woodbury, NJ 08096-4608
Phone
(856) 848-6330
Fax
(856) 784-3049
NPI assigned
Dec 18, 2006
Last updated
Jan 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Authorized official

Name
Ms. Patricia Lynn Page, LCSW
Title
President
Phone
(856) 848-6330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC00084600 NJ Primary

Addresses

Primary practice location

55 Newton Ave
Woodbury, NJ 08096-4608

Mailing address

55 Newton Ave
Woodbury, NJ 08096-4608
Phone (856) 848-6330

National Provider Directory

National Provider Directory

Locations

55 Newton Ave
Woodbury, NJ 08096
Phone (856) 848-6330

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1780747337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 NEWTON AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080964608",
            "telephone_number": "856-848-6330",
            "fax_number": "856-784-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NEWTON AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080964608",
            "telephone_number": "856-848-6330",
            "fax_number": "856-784-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNY PAGE, LCSW & ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-848-6330",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00084600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.