Charlene Kwintner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

900 Haddon Ave Ste 112
Haddon Township, NJ 08108-2110

Phone

(732) 693-0500

NPI assigned

Jun 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Triple Moon Psychotherapy

  • Clinical Social Worker
  • Haddon Township, NJ
  • NPI 1275364267
  NPD Authorized official
• Inner Clarity LLC

  • Clinical Social Worker
  • Hazlet, NJ
  • NPI 1639684103
  NPD

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1972161743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HADDON AVE STE 112",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081082110",
            "telephone_number": "732-693-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HADDON AVE STE 112",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081082110",
            "telephone_number": "732-693-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWINTNER",
        "first_name": "CHARLENE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14481332",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyreasea Anicha Johnson-Mason, NP
• Megan Kirby
• Kovacs-Farkas Counseling LLC
• Michael Koval, PHARMD
• Tejal Kundaikar
• Lydia Lam
• Bernadette Lamborne, LCSW
• Launching Change Counseling and Wellness Center LLC
• Laurel Rehabilitation Services, Inc.
• Judith Lazo

• Clinical Social Worker in Haddon Township, NJ
• Providers in Haddon Township, 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 Aug 16, 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.