Empowerment Through Adventure LLC
Social Worker, Clinical in Westmont, New Jersey
1114041332- Practice location
- 86 Elgin Avenue, Westmont, NJ 08108
- Phone
- 609-828-2110
- Fax
- 856-854-5423
- Last updated
- April 23, 2008
Empowerment Through Adventure LLC is a healthcare organization based in Westmont, NJ. Empowerment Through Adventure LLC practices in Westmont, NJ. The NPI Number for Empowerment Through Adventure LLC is 1114041332 and holds a License No. 44SC05230400 (NJ). The current practice location address for Empowerment Through Adventure LLC is 86 Elgin Avenue, Westmont, NJ 08108 and can be reached out via phone at 609-828-2110 and via fax at 856-854-5423.
Provider Profile Details
- NPI Number
- 1114041332
- Provider Name
- Empowerment Through Adventure LLC
- Provider Entity Type
- Organization
- Address
- 86 Elgin Avenue, Westmont, NJ 08108
- Phone Number
- 609-828-2110
- Fax Number
- 856-854-5423
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Ms. Jennifer K Wirth, LCSW · Owner · 609-828-2110
- Provider Enumeration Date
- March 16, 2007
- Last Update Date
- April 23, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 86 Elgin Avenue
Westmont, NJ 08108 - City
- Westmont
- State
- New Jersey
- Zip
- 08108
- Phone Number
- 609-828-2110
- Fax Number
- 856-854-5423
Provider Business Mailing Address Details
- Address
- 86 Elgin Avenue
Westmont, NJ 08108 - City
- Westmont
- State
- NJ
- Zip
- 08108
- Phone Number
- 609-828-2110
- Fax Number
- 856-869-2830
License Information
- License Number
- 44SC05230400
- License State
- NJ
- Taxonomy
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Empowerment Through Adventure LLC?
The NPI number of Empowerment Through Adventure LLC is 1114041332. It was assigned on March 16, 2007 and is currently active in the NPPES registry.
What is the specialty of Empowerment Through Adventure LLC?
Empowerment Through Adventure LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05230400.
Where does Empowerment Through Adventure LLC practice?
The practice location is 86 Elgin Avenue, Westmont, NJ 08108. The office can be reached at 609-828-2110 (phone) or 856-854-5423 (fax).
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 1114041332 directly on the NPPES registry website.