Organization Active NPI

Yorman Counseling Center

  • Clinical Social Worker
  • Elizabeth, NJ
National Provider Identifier
1952710006
Registry record updated Aug 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05560300 Issued in NJ
Legal business name
YORMAN COUNSELING CENTER
Practice address
836 Jersey Ave
Elizabeth, NJ 07202-1554
Phone
(973) 563-9522
NPI assigned
Aug 2, 2014
Last updated
Aug 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2014

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

Authorized official

Name
Sandra P Serra, LCSW
Title
Executive Director
Phone
(973) 563-9522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05560300 NJ Primary

Addresses

Primary practice location

836 Jersey Ave
Elizabeth, NJ 07202-1554

Mailing address

836 Jersey Ave
Elizabeth, NJ 07202-1554
Phone (973) 563-9522

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1406937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406937600000",
    "number": "1952710006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 JERSEY AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021554",
            "telephone_number": "973-563-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 JERSEY AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021554",
            "telephone_number": "973-563-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORMAN COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-02",
        "last_updated": "2014-08-02",
        "status": "A",
        "authorized_official_last_name": "SERRA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-563-9522",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05560300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.