NPI 1225635873 · live from the CMS NPI Registry
Advanced Capabilities
Social Worker, Clinical in South Amboy, NJ. National Provider Identifier 1225635873, active.
NPI record
| NPI | 1225635873 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 413 Conover St, South Amboy, NJ 08879 |
| Practice phone | 732-727-2562 |
| Enumerated | October 7, 2020 |
| Last updated | October 7, 2020 |
| Authorized official | Brian Ruiz, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.