Warren County Play Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WARREN COUNTY PLAY THERAPY, LLC

Practice address

254 Mountain Ave
Suite 4a Second Floor
Hackettstown, NJ 07840

Phone

(908) 892-6558

NPI assigned

Apr 19, 2024

Last updated

Apr 19, 2024By 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

Amanda Mayberry, LCSWNPI 1326516931

Title

Clinical Director

Phone

(908) 892-6558

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Elizabeth Mayberry, LCSW

  • Clinical Social Worker
  • Hackettstown, NJ
  • NPI 1326516931
  NPD Authorized official

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1952156457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 MOUNTAIN AVE",
            "address_2": "SUITE 4A SECOND FLOOR",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "07840",
            "telephone_number": "908-892-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 MOUNTAIN AVE",
            "address_2": "SUITE 4A SECOND FLOOR",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "07840",
            "telephone_number": "908-892-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN COUNTY PLAY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "MAYBERRY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "908-892-6558",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Hackettstown, NJ
• Providers in Hackettstown, 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 Apr 19, 2024; 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.