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NORTHNODE GROUP COUNSELING NPI 1003273954


NPI Information

NPI: 1003273954
Provider Name: NORTHNODE GROUP COUNSELING
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
1609 S STATE ST
DOVER, DE
ZIP 19901
Phone: (302) 257-3135
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NORTHNODE GROUP COUNSELING is a clinical social worker in Dover, DE. 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. NORTHNODE GROUP COUNSELING NPI is 1003273954. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1609 S STATE ST
DOVER, DE
ZIP 19901-148
Phone: (302) 257-3135
Fax: (302) 526-2410

The provider's authorized official is Antonya Jordan .
The authorized official title is Managing Partner and has the following contact phone number (703) 565-6278.

The enumeration date for this NPI number is 1/24/2016 and was last updated on 4/29/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinical169824091DELAWAREYes
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11003273954MEDICAIDDELAWARE

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: 4/28/2024

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