Active NPIOrganization

Community Counseling Service Of South Jersey LLC

Social Worker, Clinical in Medford, New Jersey

NPI Number1356680003
Practice location
121 W Centennial Dr, Medford, NJ 08055-8136
Fax
856-797-8512
Last updated
January 31, 2013

Community Counseling Service Of South Jersey LLC is a healthcare organization based in Medford, NJ. Community Counseling Service Of South Jersey LLC practices in Medford, NJ. The NPI Number for Community Counseling Service Of South Jersey LLC is 1356680003. The current practice location address for Community Counseling Service Of South Jersey LLC is 121 W Centennial Dr, Medford, NJ 08055-8136 and can be reached out via phone at 856-596-6444 and via fax at 856-797-8512.

Provider Profile Details

NPI Number
1356680003
Provider Name
Community Counseling Service Of South Jersey LLC
Provider Entity Type
Organization
Address
121 W Centennial Dr, Medford, NJ 08055-8136
Phone Number
856-596-6444
Fax Number
856-797-8512
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Karen Ann Brook, LCSW · President · 856-596-6444
Other Names
Karen Ann Brook LCSW (Other Name)
Provider Enumeration Date
January 31, 2013
Last Update Date
January 31, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
121 W Centennial Dr
Medford, NJ 08055-8136
Zip
08055-8136
Phone Number
856-596-6444
Fax Number
856-797-8512
Medford, NJ 08055Get directions →

Provider Business Mailing Address Details

Address
121 W Centennial Dr
Medford, NJ 08055-8136
City
Medford
State
NJ
Zip
08055-8136
Phone Number
856-596-6444
Fax Number
856-797-8512

License Information

Taxonomy (1)
Marriage & Family Therapist · 106H00000X
Taxonomy (2)
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 Community Counseling Service Of South Jersey LLC?

The NPI number of Community Counseling Service Of South Jersey LLC is 1356680003. It was assigned on January 31, 2013 and is currently active in the NPPES registry.

What is the specialty of Community Counseling Service Of South Jersey LLC?

Community Counseling Service Of South Jersey LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Community Counseling Service Of South Jersey LLC practice?

The practice location is 121 W Centennial Dr, Medford, NJ 08055-8136. The office can be reached at 856-596-6444 (phone) or 856-797-8512 (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 1356680003 directly on the NPPES registry website.

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