Supportive Family Solutions, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0162485 Issued in NJ

Legal business name

SUPPORTIVE FAMILY SOLUTIONS, LLC

Practice address

152 Nesbit Ter
Irvington, NJ 07111-2203

Phone

(973) 207-1242

Fax

(973) 372-7005

NPI assigned

Sep 17, 2008

Last updated

Sep 17, 2008By 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

Mr. Duteche J Aine, LSWNPI 1649728197

Title

Executive Director

Phone

(973) 207-1242

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Duteche Aine, LCSW

  • Clinical Social Worker
  • North Brunswick, NJ
  • NPI 1649728197
  NPD Authorized official

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1972752699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 NESBIT TER",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112203",
            "telephone_number": "973-207-1242",
            "fax_number": "973-372-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 NESBIT TER",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112203",
            "telephone_number": "973-207-1242",
            "fax_number": "973-372-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE FAMILY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "AINE",
        "authorized_official_first_name": "DUTECHE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-207-1242",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "0162485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162485",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.