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BREAKTHROUGH PSYCHOTHERAPY LLC NPI 1629383120


NPI Information

NPI: 1629383120
Provider Name: BREAKTHROUGH PSYCHOTHERAPY, LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
301 SOUTH LIVINGSTON AVENUE
LIVINGSTON, NJ
ZIP 07039
Phone: (973) 857-5121
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BREAKTHROUGH PSYCHOTHERAPY, LLC is a clinical social worker in Livingston, NJ. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. BREAKTHROUGH PSYCHOTHERAPY, LLC NPI is 1629383120. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

301 SOUTH LIVINGSTON AVENUE
LIVINGSTON, NJ
ZIP 07039-932
Phone: (973) 857-5121

The provider's authorized official is Annette M Vaccaro .
The authorized official title is Healthcare Provider and has the following contact phone number (973) 857-5121.

The enumeration date for this NPI number is 8/10/2010 and was last updated on 8/10/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinical44SC05162000NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1098704MEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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