Balm In Gilead Community Services, INC
Social Worker, Clinical in Newark, New Jersey
1972860633- Practice location
- 790 Clinton Ave, Newark, NJ 07108-1047
- Phone
- 862-235-0814
- Fax
- 973-926-3577
- Last updated
- September 6, 2023
Balm In Gilead Community Services, INC is a healthcare organization based in Newark, NJ. Balm In Gilead Community Services, INC practices in Newark, NJ. The NPI Number for Balm In Gilead Community Services, INC is 1972860633 and holds a License No. 37CA00095399 (NJ). The current practice location address for Balm In Gilead Community Services, INC is 790 Clinton Ave, Newark, NJ 07108-1047 and can be reached out via phone at 862-235-0814 and via fax at 973-926-3577.
Provider Profile Details
- NPI Number
- 1972860633
- Provider Name
- Balm In Gilead Community Services, INC
- Provider Entity Type
- Organization
- Address
- 790 Clinton Ave, Newark, NJ 07108-1047
- Phone Number
- 862-235-0814
- Fax Number
- 973-926-3577
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Dr. Viva L White, LCSW · Executive Director · 973-517-4488
- Provider Enumeration Date
- April 19, 2012
- Last Update Date
- September 6, 2023
- Certification Date
- July 29, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 790 Clinton Ave
Newark, NJ 07108-1047 - City
- Newark
- State
- New Jersey
- Zip
- 07108-1047
- Phone Number
- 862-235-0814
- Fax Number
- 973-926-3577
Provider Business Mailing Address Details
- Address
- Po Box 28038
Newark, NJ 07101-1047 - City
- Newark
- State
- NJ
- Zip
- 07101-1047
- Phone Number
- 973-517-4488
- Fax Number
- 973-926-3577
License Information
- License Number (1)
- 37CA00095399
- License State (1)
- NJ
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (2)
- 44SC05454500
- License State (2)
- NJ
- Taxonomy (2)
- 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 Balm In Gilead Community Services, INC?
The NPI number of Balm In Gilead Community Services, INC is 1972860633. It was assigned on April 19, 2012 and is currently active in the NPPES registry.
What is the specialty of Balm In Gilead Community Services, INC?
Balm In Gilead Community Services, INC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 37CA00095399.
Where does Balm In Gilead Community Services, INC practice?
The practice location is 790 Clinton Ave, Newark, NJ 07108-1047. The office can be reached at 862-235-0814 (phone) or 973-926-3577 (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 1972860633 directly on the NPPES registry website.