SHELLEY J MARINO (NPI# 1003165150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003165150 |
| Entity Type | Individual |
| Full Name | SHELLEY J MARINO |
| Credential | MA, CADC |
| Practice Address |
29 S Broad St Woodbury NJ 08096-4655 |
| Mailing Address |
1440 Russell Rd Paoli PA 19301-1236 |
| Practice Telephone | 6106446464 |
| Practice Fax Number | 6108890732 |
| Mailing Telephone | 6106446464 |
| Mailing Fax Number | 6108890732 |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
37CA00080800 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
29 S BROAD ST |
| City | WOODBURY |
| State | NJ |
| Zip Code | 08096-4655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568608354 | Marie A. Hulse Cowan | Marriage & Family Therapist | 29 S Broad St, Woodbury, NJ 08096-4655 | 2008-12-28 |
| 1578083408 | James A. Casadia | Social Worker | 29 S Broad St, Woodbury, NJ 08096-4655 | 2017-06-21 |
| 1831330653 | Contextual Family Therapy of South Jersey | Marriage & Family Therapist | 29 S Broad St, Woodbury, NJ 08096-4655 | 2009-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780226043 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1460 Cooper Street, Deptford, NJ 08096 | 2019-10-08 |
| 1730652058 | Robert Crawford Counseling & Consultation, LLC | Counselor | Robert Crawford Counseling & Consultation, LLC, 44 Cooper Street, Suite 208, Woodbury, NJ 08096 | 2019-01-09 |
| 1902381171 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 124 N Broad Street, Woodbury, NJ 08096 | 2018-10-03 |
| 1225518715 | Michael West | Pharmacist | 631 West Mantua Ave, Woodbury, NJ 08096 | 2018-08-15 |
| 1053807891 | Standing Ground Counseling, LLC | Clinic/Center | 44 Cooper Street, Suite 104, Woodbury, NJ 08096 | 2018-07-05 |
| 1376054536 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 40 Hessian Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1881105021 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1154 Bennett Drive, Deptford, NJ 08096 | 2017-10-16 |
| 1215448469 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 North Evergreen Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1801307137 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 North Drexel Street, Woodbury, NJ 08096 | 2017-10-13 |
| 1295253847 | Sara Alven | Social Worker | 1 Lupton Avenue, Woodbury, NJ 08096 | 2017-09-05 |
| Find all providers in zip 08096 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474036 | Natasha Marie Gunderson | Counselor | 6043 Hudson Rd Ste 200, Woodbury, MN 55125-1019 | 2020-03-30 |
| 1275195794 | Judy A Powell | Counselor | 570 Settlers Ridge Pkwy Unit C204, Woodbury, MN 55129-7519 | 2019-07-04 |
| 1902392459 | Transform Within Wellness Center, LLC | Counselor | 700 Commerce Dr Ste 295, Woodbury, MN 55125-9245 | 2018-07-09 |
| 1649766460 | Lauren Brooke Willis | Counselor | 537 N Broad St, Woodbury, NJ 08096-1603 | 2018-07-04 |
| 1053797530 | Amanda Rose Hernandez | Counselor | 652 Bielenberg Dr Ste 104, Woodbury, MN 55125-4419 | 2015-08-06 |
| 1043651052 | Crossroads Counseling Services LLC | Counselor | 6053 Hudson Rd Ste 192, Woodbury, MN 55125-1015 | 2013-07-08 |
| 1730528142 | Elizabeth Joette Rolfes | Counselor | 7700 Hudson Rd Ste 600, Woodbury, MN 55125-1469 | 2013-06-19 |
| 1821338765 | Annette Pullen | Counselor | 1687 Woodlane Dr Ste 213, Woodbury, MN 55125-3047 | 2013-02-28 |
| 1982886503 | Kelly Renee Volkmann | Counselor | 700 Commerce Drive, Suite 295, Woodbury, MN 55125 | 2007-12-05 |
| 1225191893 | Haven Chemical Health Systems, LLC | Counselor | 2042 Wooddale Dr, Suite #220, Woodbury, MN 55125-2981 | 2006-12-18 |
| Find all providers in WOODBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.