NPIMap

Organization Active NPI

Bereavement and Life Transitions Center

  • Clinical Social Worker
  • Red Bank, NJ
National Provider Identifier
1972992691
Registry record updated Jan 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00854100 Issued in NJ
Legal business name
BEREAVEMENT AND LIFE TRANSITIONS CENTER
Practice address
294 Broad St
Red Bank, NJ 07701-2152
Phone
(732) 219-6804
NPI assigned
Jan 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2015

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

Authorized official

Name
Mrs. Lynn S Spector, LCSW
Title
Owner
Phone
(732) 219-6804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC00854100 NJ Primary

Addresses

Primary practice location

294 Broad St
Red Bank, NJ 07701-2152

Mailing address

294 Broad St
Red Bank, NJ 07701-2152
Phone (732) 219-6804

National Provider Directory

National Provider Directory
Tax ID family
Bereavement and Life Transitions Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421625600000",
    "number": "1972992691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012152",
            "telephone_number": "732-219-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012152",
            "telephone_number": "732-219-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEREAVEMENT AND LIFE TRANSITIONS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-01-19",
        "status": "A",
        "authorized_official_last_name": "SPECTOR",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-219-6804",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00854100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; 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.