Organization Active NPI

Family & Childrens Srvcs of Central NJ

  • Clinical Social Worker
  • Princeton, NJ
National Provider Identifier
1912924887
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05172100 Issued in NJ
Legal business name
FAMILY & CHILDRENS SRVCS OF CENTRAL NJ
Practice address
120 John St
Ste 6
Princeton, NJ 08540
Phone
(609) 924-7826
Fax
(609) 924-7826
NPI assigned
Jul 16, 2006
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
Mrs. Mary L Ballard, MBA
Title
Executive Director
Phone
(609) 924-2098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC05172100 NJ Primary

Addresses

Primary practice location

120 John St
Ste 6
Princeton, NJ 08540

Mailing address

120 John St
Ste 6
Princeton, NJ 08540
Phone (609) 924-2098

National Provider Directory

National Provider Directory

Locations

120 John St
Ste 6
Princeton, NJ 08542
Phone (609) 924-2098

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912924887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 JOHN ST",
            "address_2": "STE 6",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "08540",
            "telephone_number": "609-924-2098",
            "fax_number": "609-924-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 JOHN ST",
            "address_2": "STE 6",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "08540",
            "telephone_number": "609-924-7826",
            "fax_number": "609-924-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY & CHILDRENS SRVCS OF CENTRAL NJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-924-2098",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05172100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, 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.