Organization Active NPI

Counseling & Education Through the Life Span

  • Clinical Social Worker
  • Eatontown, NJ
National Provider Identifier
1841498508
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05269900 Issued in NJ
Legal business name
COUNSELING & EDUCATION THROUGH THE LIFE SPAN
Practice address
615 Hope Rd Ste 4B
Eatontown, NJ 07724-1273
Phone
(732) 804-1147
Fax
(732) 534-4401
NPI assigned
Jul 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Katherine L Orlowski, LCSW
Title
Clinical Social Worker
Phone
(732) 804-1147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC05269900 NJ Primary

Addresses

Primary practice location

615 Hope Rd Ste 4B
Eatontown, NJ 07724-1273

Mailing address

PO Box 1432
Eatontown, NJ 07724-1082
Phone (732) 804-1147

National Provider Directory

National Provider Directory

Locations

615 Hope Rd
Ste 4B
Eatontown, NJ 07724
Phone (732) 804-1147

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1183507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841498508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1432",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241082",
            "telephone_number": "732-804-1147",
            "fax_number": "732-534-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 HOPE RD STE 4B",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241273",
            "telephone_number": "732-804-1147",
            "fax_number": "732-534-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING & EDUCATION THROUGH THE LIFE SPAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORLOWSKI",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "732-804-1147",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05269900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.