Organization Active NPI

Bergen Alliance Counseling Services LLC

  • Clinical Social Worker
  • Waldwick, NJ
National Provider Identifier
1801191192
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05427100 Issued in NJ
Legal business name
BERGEN ALLIANCE COUNSELING SERVICES LLC
Practice address
85 Hopper Ave
Suite 6
Waldwick, NJ 07463-1517
Phone
(201) 445-7448
Fax
(973) 767-1147
NPI assigned
Jan 18, 2011
Last updated
Jan 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Ms. Maria Patricia Cosentino, MA, MSW, LCSWNPI 1215257951
Title
Sole Proprietor
Phone
(973) 955-8137

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 44SC05427100 NJ Primary

Addresses

Primary practice location

85 Hopper Ave
Suite 6
Waldwick, NJ 07463-1517

Mailing address

85 Hopper Ave
Suite 6
Waldwick, NJ 07463-1517
Phone (973) 955-8137

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1801191192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 HOPPER AVE",
            "address_2": "SUITE 6",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631517",
            "telephone_number": "973-955-8137",
            "fax_number": "973-767-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 HOPPER AVE",
            "address_2": "SUITE 6",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631517",
            "telephone_number": "201-445-7448",
            "fax_number": "973-767-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN ALLIANCE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "COSENTINO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "973-955-8137",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05427100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldwick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.