Active NPIOrganization

South Orange Blossoms, LLC

Social Worker, Clinical in Summit, New Jersey

NPI Number1063985679
Practice location
467 Springfield Ave Ste 205, Summit, NJ 07901-2622
Fax
—
Last updated
April 13, 2021

South Orange Blossoms, LLC is a healthcare organization based in Summit, NJ. South Orange Blossoms, LLC practices in Summit, NJ. The NPI Number for South Orange Blossoms, LLC is 1063985679. The current practice location address for South Orange Blossoms, LLC is 467 Springfield Ave Ste 205, Summit, NJ 07901-2622 and can be reached out via phone at 973-370-5686.

Provider Profile Details

NPI Number
1063985679
Provider Name
South Orange Blossoms, LLC
Provider Entity Type
Organization
Address
467 Springfield Ave Ste 205, Summit, NJ 07901-2622
Phone Number
973-370-5686
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Jennifer Burleson, MSW, LCSW · Owner/Psychotherapist · 973-370-5686
Other Names
South Orange Blossoms, LLC (Doing Business As)
Provider Enumeration Date
January 7, 2019
Last Update Date
April 13, 2021
Certification Date
April 13, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
467 Springfield Ave Ste 205
Summit, NJ 07901-2622
City
Summit
Zip
07901-2622
Phone Number
973-370-5686
Summit, NJ 07901Get directions →

Provider Business Mailing Address Details

Address
467 Springfield Ave Ste 205
Summit, NJ 07901-2622
City
Summit
State
NJ
Zip
07901-2622
Phone Number
973-370-5686

License Information

Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of South Orange Blossoms, LLC?

The NPI number of South Orange Blossoms, LLC is 1063985679. It was assigned on January 7, 2019 and is currently active in the NPPES registry.

What is the specialty of South Orange Blossoms, LLC?

South Orange Blossoms, LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does South Orange Blossoms, LLC practice?

The practice location is 467 Springfield Ave Ste 205, Summit, NJ 07901-2622. The office can be reached at 973-370-5686 (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 1063985679 directly on the NPPES registry website.

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