Active NPIOrganization

Destiny Supportive Services

Social Worker, Clinical in Delran, New Jersey

NPI Number1811672322
Practice location
1351 Fairview Blvd Ste A, Delran, NJ 08075-1475
Fax
856-245-8388
Last updated
December 5, 2024

Destiny Supportive Services is a healthcare organization based in Delran, NJ. Destiny Supportive Services practices in Delran, NJ. The NPI Number for Destiny Supportive Services is 1811672322. The current practice location address for Destiny Supportive Services is 1351 Fairview Blvd Ste A, Delran, NJ 08075-1475 and can be reached out via phone at 856-912-0712 and via fax at 856-245-8388.

Provider Profile Details

NPI Number
1811672322
Provider Name
Destiny Supportive Services
Provider Entity Type
Organization
Address
1351 Fairview Blvd Ste A, Delran, NJ 08075-1475
Phone Number
856-912-0712
Fax Number
856-245-8388
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Noni Kendall, LCSW · Owner · 856-912-0712
Provider Enumeration Date
June 21, 2023
Last Update Date
December 5, 2024
Certification Date
November 13, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1351 Fairview Blvd Ste A
Delran, NJ 08075-1475
City
Delran
Zip
08075-1475
Phone Number
856-912-0712
Fax Number
856-245-8388
Delran, NJ 08075Get directions →

Provider Business Mailing Address Details

Address
1351 Fairview Blvd Ste A
Delran, NJ 08075-1475
City
Delran
State
NJ
Zip
08075-1475
Phone Number
856-912-0712
Fax Number
856-245-8388

License Information

Taxonomy (1)
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 Destiny Supportive Services?

The NPI number of Destiny Supportive Services is 1811672322. It was assigned on June 21, 2023 and is currently active in the NPPES registry.

What is the specialty of Destiny Supportive Services?

Destiny Supportive Services is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Destiny Supportive Services practice?

The practice location is 1351 Fairview Blvd Ste A, Delran, NJ 08075-1475. The office can be reached at 856-912-0712 (phone) or 856-245-8388 (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 1811672322 directly on the NPPES registry website.

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