THERACORP LLC NPI 1063947828

NPI Information

  • NPI: 1063947828
  • Provider Name: THERACORP, LLC
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Other Name: THERACORP THERAPEUTIC SOLUTIONS
  • Address: 79 E RAILROAD AVE
    JAMESBURG, NJ
    ZIP 08831
  • Phone: (732) 561-8555

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NPI Details

THERACORP, LLC is a clinical social worker in Jamesburg, 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. THERACORP, LLC NPI is 1063947828. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Theracorp Therapeutic Solutions.

The provider's business location address is:

79 E RAILROAD AVE
JAMESBURG, NJ
ZIP 08831-207
Phone: (732) 561-8555

The provider's authorized official is Alla Krutyansky .
The authorized official title is President and has the following contact phone number (973) 207-6834.

The enumeration date for this NPI number is 4/28/2017 and was last updated on 11/11/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselor101Y00000XNEW JERSEYNo
2101YA0400XCounselorAddiction (Substance Use Disorder)101YA0400XNEW JERSEYNo
3101YM0800XCounselorMental Health104200000XNEW JERSEYNo
4101YM0800XCounselorMental Health101YM0800XNEW JERSEYNo
5103T00000XPsychologist103T00000XNEW JERSEYNo
6103TP0016XPsychologistPrescribing (Medical)103TP0016XNEW JERSEYNo
7103TP2701XPsychologistGroup PsychotherapyNEW JERSEYNo
8106H00000XMarriage & Family Therapist106H00000XNEW JERSEYNo
91041C0700XSocial WorkerClinical1041X0700XNEW JERSEYYes

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: 11/21/2025

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