Wellformed AI

NPI 1669911806 · live from the CMS NPI Registry

About You Counseling Services

Social Worker, Clinical in Linwood, NJ. National Provider Identifier 1669911806, active.

NPI record

NPI1669911806 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location109 Country Club Dr, Linwood, NJ 08221
Practice phone609-365-2413
EnumeratedFebruary 21, 2017
Last updatedFebruary 21, 2017
Authorized officialAngela Ford, Managing Member

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Addiction (Substance Use Disorder)101YA0400X—
Counselor, Mental Health101YM0800X—
Counselor, Professional101YP2500X—
Marriage & Family Therapist106H00000X—
Social Worker, Clinical primary1041C0700X44SC05709600 (NJ)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.