Organization Active NPI

Four Immeasurables Life Practice, LLC

  • Clinical Social Worker
  • Westfield, NJ
National Provider Identifier
1891241667
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05609600 Issued in NJ
Legal business name
FOUR IMMEASURABLES LIFE PRACTICE, LLC
Practice address
7 Elm St FL 2
Westfield, NJ 07090-2147
Phone
(908) 202-6303
NPI assigned
Aug 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Ms. Misty A Shores, LCSW
Title
Licensed Clinical Social Worker
Phone
(908) 202-6303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC05609600 NJ Primary

Addresses

Primary practice location

7 Elm St FL 2
Westfield, NJ 07090-2147

Mailing address

7 Elm Street, 2ND Floor, Front
Westfield, NJ 07090-2147
Phone (908) 202-6303

Other identifiers 1

IdentifierTypeStateIssuer
1578958245OtherNJPROVIDER NPI NUMBER FOR OWNER OF BUSINESS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1891241667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ELM STREET, 2ND FLOOR, FRONT",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902147",
            "telephone_number": "908-202-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ELM ST FL 2",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902147",
            "telephone_number": "908-202-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR IMMEASURABLES LIFE PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "SHORES",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "908-202-6303",
        "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": "44SC05609600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI NUMBER FOR OWNER OF BUSINESS",
            "identifier": "1578958245",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.