Balm in Gilead Community Services, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05454500 Issued in NJ

Legal business name

BALM IN GILEAD COMMUNITY SERVICES, INC

Practice address

790 Clinton Ave
Newark, NJ 07108-1047

Phone

(862) 235-0814

Fax

(973) 926-3577

NPI assigned

Apr 19, 2012

Last updated

Sep 6, 2023By 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

Dr. Viva L White, LCSWNPI 1023307600

Title

Executive Director

Phone

(973) 517-4488

Specialties & licenses 2

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.

• Viva L White, PHD,MSW,LCSW,LCADC

  • Clinical Social Worker
  • Newark, NJ
  • NPI 1023307600

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1972860633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28038",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071011047",
            "telephone_number": "973-517-4488",
            "fax_number": "973-926-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CLINTON AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071081047",
            "telephone_number": "862-235-0814",
            "fax_number": "973-926-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALM IN GILEAD COMMUNITY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2023-09-06",
        "certification_date": "2023-07-29",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "VIVA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-517-4488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37CA00095399",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05454500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annet Baldwin, CASE MANAGER
• Asha G. Bale, M.D.
• Nekisha D Balfour, NP-C
• Adrienne-Vyolet Balk, MD
• Steronda Ballew
• Miroslawa Balowska, MD
• Anil Balraj, PHARM D., RPH.
• Genie Ann Francisco Baluyut, MD
• Bambini Hospital Physicians, P.a.
• Latifat Olabisi Bamgbose, LPN

• Clinical Social Worker in Newark, NJ
• Providers in Newark, 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 Sep 6, 2023; 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.