New Horizons Psychotherapy of North Jersey PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW015472 Issued in PA

Legal business name

NEW HORIZONS PSYCHOTHERAPY OF NORTH JERSEY PC

Practice address

340 E Maple Ave
Suite 204C
Langhorne, PA 19047-2850

Phone

(215) 750-0459

Fax

(215) 750-0489

NPI assigned

Dec 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jane Carol Collaso, LCSW

Title

Clinician

Phone

(215) 750-0459

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1166313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1932262680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 STONY HILL RD",
            "address_2": "SUITE 255",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190674497",
            "telephone_number": "215-750-0459",
            "fax_number": "215-750-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E MAPLE AVE",
            "address_2": "SUITE 204C",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190472850",
            "telephone_number": "215-750-0459",
            "fax_number": "215-750-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZONS PSYCHOTHERAPY OF NORTH JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-17",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "COLLASO",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "215-750-0459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015472",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04734600",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "044809-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL INDIVIDUAL PROVI",
            "identifier": "1962491407",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Langhorne, PA
• Providers in Langhorne, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.