Group Therapy Central LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05425000 Issued in NJ

Legal business name

GROUP THERAPY CENTRAL LLC

Practice address

362 Midland Ave
2ND Floor
Garfield, NJ 07026-1736

Phone

(973) 513-3187

NPI assigned

Jun 25, 2013

Last updated

Jun 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alexander Herzog, LCSW

Title

Clinical Director

Phone

(973) 513-3187

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1821438664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 AYCRIGG AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553714",
            "telephone_number": "973-513-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 MIDLAND AVE",
            "address_2": "2ND FLOOR",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070261736",
            "telephone_number": "973-513-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUP THERAPY CENTRAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "973-513-3187",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05425000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Garfield, NJ
• Providers in Garfield, 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 25, 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.