Theracorp, LLC
Social Worker, Clinical in Jamesburg, New Jersey
1063947828- Practice location
- 79 E Railroad Ave, Jamesburg, NJ 08831-1207
- Phone
- 732-561-8555
- Fax
- —
- Last updated
- November 11, 2021
Theracorp, LLC is a healthcare organization based in Jamesburg, NJ. Theracorp, LLC practices in Jamesburg, NJ. The NPI Number for Theracorp, LLC is 1063947828 and holds a License No. 101Y00000X (NJ). The current practice location address for Theracorp, LLC is 79 E Railroad Ave, Jamesburg, NJ 08831-1207 and can be reached out via phone at 732-561-8555.
Provider Profile Details
- NPI Number
- 1063947828
- Provider Name
- Theracorp, LLC
- Provider Entity Type
- Organization
- Address
- 79 E Railroad Ave, Jamesburg, NJ 08831-1207
- Phone Number
- 732-561-8555
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Mrs. Alla Krutyansky, MSW, LCSW · President · 973-207-6834
- Other Names
- Theracorp Therapeutic Solutions (Other Name)
- Provider Enumeration Date
- April 28, 2017
- Last Update Date
- November 11, 2021
- Certification Date
- November 30, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 79 E Railroad Ave
Jamesburg, NJ 08831-1207 - City
- Jamesburg
- State
- New Jersey
- Zip
- 08831-1207
- Phone Number
- 732-561-8555
Provider Business Mailing Address Details
- Address
- 79 E Railroad Ave
Jamesburg, NJ 08831-1207 - City
- Jamesburg
- State
- NJ
- Zip
- 08831-1207
- Phone Number
- 732-561-8555
License Information
- License Number (1)
- 101Y00000X
- License State (1)
- NJ
- Taxonomy (1)
- Counselor · 101Y00000X
- License Number (2)
- 101YA0400X
- License State (2)
- NJ
- Taxonomy (2)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (3)
- 104200000X
- License State (3)
- NJ
- Taxonomy (3)
- Counselor, Mental Health · 101YM0800X
- License Number (4)
- 101YM0800X
- License State (4)
- NJ
- Taxonomy (4)
- Counselor, Mental Health · 101YM0800X
- License Number (5)
- 103T00000X
- License State (5)
- NJ
- Taxonomy (5)
- Psychologist · 103T00000X
- License Number (6)
- 103TP0016X
- License State (6)
- NJ
- Taxonomy (6)
- Psychologist, Prescribing (Medical) · 103TP0016X
- License State (7)
- NJ
- Taxonomy (7)
- Psychologist, Group Psychotherapy · 103TP2701X
- License Number (8)
- 106H00000X
- License State (8)
- NJ
- Taxonomy (8)
- Marriage & Family Therapist · 106H00000X
- License Number (9)
- 1041X0700X
- License State (9)
- NJ
- Taxonomy (9)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Jamesburg, NJ
View all Social Worker, Clinical providers in Jamesburg →- Jenna Krutyansky, LCSWSocial Worker, Clinical · NPI 1174235568
- Mary K GeorgeCounselor, Mental Health · NPI 1326919564
- Ashesh Desai, DMDDentist · NPI 1245111848
- Jillian KrutyanskySocial Worker · NPI 1023850617
- Mrs. Marci Schwab, AUDAudiologist · NPI 1144413311
- Ms. Twinkle M Mangabat, PTPhysical Therapist · NPI 1073619763
Frequently Asked Questions
What is the NPI number of Theracorp, LLC?
The NPI number of Theracorp, LLC is 1063947828. It was assigned on April 28, 2017 and is currently active in the NPPES registry.
What is the specialty of Theracorp, LLC?
Theracorp, LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 101Y00000X.
Where does Theracorp, LLC practice?
The practice location is 79 E Railroad Ave, Jamesburg, NJ 08831-1207. The office can be reached at 732-561-8555 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063947828 directly on the NPPES registry website.