EMPOWERMENT THROUGH ADVENTURE LLC (NPI# 1114041332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114041332 |
| Entity Type | Organization |
| Organization Name | EMPOWERMENT THROUGH ADVENTURE LLC |
| Practice Address |
86 Elgin Avenue Westmont NJ 08108 |
| Practice Telephone | 6098282110 |
| Practice Fax Number | 8568545423 |
| Mailing Telephone | 6098282110 |
| Mailing Fax Number | 8568692830 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2008-04-23 |
| Authorized Official Name | MS. JENNIFER K WIRTH (OWNER) |
| Authorized Official Telephone | 6098282110 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC05230400 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0030856 | 05 | |
| NJ | 0031101 | 05 | |
| NJ | 0037494 | 05 |
| Street Address |
86 ELGIN AVENUE |
| City | WESTMONT |
| State | NJ |
| Zip Code | 08108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851566533 | Jennifer Wirth | Social Worker | 86 Elgin Avenue, Westmont, NJ 08108 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629569942 | Breathe Life Physical Therapy & Wellness | Physical Therapist | 915 Haddon Ave, Collingswood, NJ 08108 | 2018-05-22 |
| 1144718545 | Genesis Counseling Center, Inc | Counselor | 566 Hadden Ave, Collingswood, NJ 08108 | 2018-05-01 |
| 1417486069 | Village Wrap, Inc | Clinic/Center | 316 Haddon Avenue, Collingsgwood, NJ 08108 | 2017-06-07 |
| 1518493915 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Stokes Ave, Collingswood, NJ 08108 | 2017-05-04 |
| 1932659778 | Virtua Medical Group, Pa | Clinic/Center | 602 W Cuthbert Blvd Unit 26, Haddon Township, NJ 08108 | 2016-10-05 |
| 1467808543 | Kevin M Lenny | Social Worker | 215 Highland Avenue Suite C, Haddon Township, NJ 08108 | 2016-05-09 |
| 1477933083 | Tam Thien Tran | Pharmacist | 7 Mac Arthur Blvd #n0515, Haddon Township, NJ 08108 | 2015-06-09 |
| 1619364536 | United Methodist Homes of New Jersey | Assisted Living Facility | 460 Haddon Avenue, Collingswood, NJ 08108 | 2015-04-17 |
| 1326465808 | Jacqueline Yvonne Thomas | Counselor | 566 Haddon Ave., Genesis Counseling Services, Collingswood, NJ 08108 | 2014-03-24 |
| 1790118941 | Jessica Ann Charlton | Counselor | 900 Haddon Ave Ste 336, Collingswood, NJ 08108 | 2013-08-12 |
| Find all providers in zip 08108 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912403023 | Bianca J Dassinger | Social Worker | 750 Pasquinelli Drive, #204, Westmont, IL 60559 | 2018-04-05 |
| 1295156826 | Virginia Hurst | Social Worker | 3916 N Lincoln St, Westmont, IL 60559-1110 | 2013-12-28 |
| 1144599036 | Samantha Matheny Kleven | Social Worker | 724 Oakwood Dr, Westmont, IL 60559-1225 | 2011-12-21 |
| 1780880393 | E Nielsen | Social Worker | 4 E Ogden Ave # 344, Westmont, IL 60559-3506 | 2007-06-21 |
| 1750460838 | Rita R. Raciak | Social Worker | 1128 S Williams St, Unit D2, Westmont, IL 60559-2970 | 2006-11-02 |
| 1699786301 | Karen M Hoganson | Social Worker | 999 Oakmont Plaza Dr, Suite 100, Westmont, IL 60559-5563 | 2006-08-10 |
| 1881206159 | Tiffany Morrow | Social Worker | 825 N Cass Ave Ste 112, Westmont, IL 60559-6401 | 2020-08-18 |
| 1164993630 | Natalie Dreher | Social Worker | 777 Oakmont Ln, Westmont, IL 60559-5511 | 2018-12-10 |
| 1144591025 | Kathleen Daly | Social Worker | 422 N Cass Ave, Westmont, IL 60559-1502 | 2012-01-24 |
| 1831499359 | Life In Balance Healthcare & Wellness, Inc. | Social Worker | 4 E Ogden Ave # 344, Westmont, IL 60559-3506 | 2010-11-01 |
| Find all providers in WESTMONT | ||||
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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.