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CHILDRENS INTENSIVE IN COMMUNITY PROGRAM NPI 1669663746


NPI Information

NPI: 1669663746
Provider Name: CHILDRENS INTENSIVE IN COMMUNITY PROGRAM

Other Name: NON PROFIT ORGANIZATION

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
101 RT 130 S
GRANT BUILDING SUITE 440
CINNAMINSON, NJ
ZIP 08077
Phone: (856) 829-9440
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CHILDRENS INTENSIVE IN COMMUNITY PROGRAM is a clinical social worker in Cinnaminson, 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. CHILDRENS INTENSIVE IN COMMUNITY PROGRAM NPI is 1669663746. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Non Profit Organization.

The provider's business location address is:

101 RT 130 S
GRANT BUILDING SUITE 440
CINNAMINSON, NJ
ZIP 08077-845
Phone: (856) 829-9440

The provider's authorized official is Momah G Cooper .
The authorized official title is Executive Director and has the following contact phone number (856) 829-9440.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 8/5/2007.


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
1101YM0800XCounselorMental HealthPC003757PENNSYLVANIANo
21041C0700XSocial WorkerClinical445L05145400NEW 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: 5/5/2024

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