Personal Growth Associates, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05619200 Issued in NJ

Legal business name

PERSONAL GROWTH ASSOCIATES, LLC

Practice address

18 Kings Hwy
Suite 202
Middletown, NJ 07748-2509

Phone

(732) 533-8433

NPI assigned

Jan 13, 2016

Organization subpart

No

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

Authorized official

Name

Mr. J. Bryan Smith, LCSW

Title

Member

Phone

(732) 533-8433

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1972969483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SPRUCE DR",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077483429",
            "telephone_number": "732-533-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 KINGS HWY",
            "address_2": "SUITE 202",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482509",
            "telephone_number": "732-533-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL GROWTH ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "J. BRYAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-533-8433",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05619200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul W. Silverman, DC PC
• Patricia Margaret Pavlak, APN
• Pearle Vision Inc (Pearle Vision #C6477)
• Suzanne Penna, MSN, RN
• Olympia Rian Perna, APN
• Donna M Phair, PHD
• Julia Pierson, PA-C
• Brian Plath, PHARMD
• Stephanie Pogoda
• Erin Pomykala, PT, DPT

• Clinical Social Worker in Middletown, NJ
• Providers in Middletown, 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 Jan 13, 2016; 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.