SUPPLANTER COUNSELING & MEDIATION, LLC (NPI# 1124665708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124665708 |
| Entity Type | Organization |
| Organization Name | SUPPLANTER COUNSELING & MEDIATION, LLC |
| Other Organization Name | SUPPLANTER COUNSELING & MEDIATION, LLC |
| Practice Address |
1330 Parkway Ave Ste 7 Ewing NJ 08628-3006 |
| Mailing Address |
1330 Parkway Ave Ste 12 Ewing NJ 08628-3006 |
| Practice Telephone | 6094543080 |
| Practice Fax Number | 6094543078 |
| Mailing Telephone | 6094543080 |
| Mailing Fax Number | 6094543078 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2020-04-29 |
| Authorized Official Name | MS. JACQUELINE C PORTER- STEWART (OWNER) |
| Authorized Official Telephone | 6094543080 |
| Authorized Official Credential | LCADC, LCSW, SAP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Supplanter Counseling & Mediation, LLC | Doing Business As Name - Organization |
| Street Address |
1330 PARKWAY AVE STE 7 |
| City | EWING |
| State | NJ |
| Zip Code | 08628-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740642503 | Lissa Edmond | Nurse Practitioner | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2016-03-22 |
| 1356951172 | Clara Y Pak | Counselor | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2020-08-06 |
| 1790324747 | Embodied Heart Mind LLC | Clinic/Center | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2019-12-22 |
| 1841835568 | Emily Suzuki | Counselor | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2019-11-18 |
| 1609411842 | Marissa Mangual | Counselor | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2019-11-12 |
| 1528611126 | Anna Braverman | Psychologist | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2019-07-23 |
| 1265093322 | Carolynne Lewis Arevalo | Counselor | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2019-06-27 |
| 1760042246 | Kristine Aguilar | Social Worker | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2019-06-18 |
| 1154980670 | Nathalie Edmond, LLC | Counselor | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2019-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300612 | Heather C. Williamson | Physician Assistant | 57 Willis Dr, West Trenton, NJ 08628 | 2020-09-09 |
| 1982258448 | Elizabeth Ann Mottola | Counselor | 1239 Parkway Avenue, Ewing, NJ 08628 | 2019-08-01 |
| 1528560570 | Robert Lewis Hutchinson | Registered Nurse | 1609 Stuyvesant Avenue, West Trenton, NJ 08628 | 2018-03-06 |
| 1568976512 | Eucharia Onyemachi Ihem | Nurse Practitioner | 101 Sullivan Way, Trenton Psychiatric Hospital, West Trenton, NJ 08628 | 2017-11-29 |
| 1194258806 | Megan Florio | Social Worker | 100 Charles Ewing Blvd Ste 160, Ewing, NJ 08628 | 2017-04-10 |
| 1679958961 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 85 Willis Dr, Ewing, NJ 08628 | 2015-07-28 |
| 1659756948 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18 Perry Drive, Ewing, NJ 08628 | 2015-07-28 |
| 1730571522 | Nancy Scott | Counselor | 850 Bear Tavern Road, Suite #305, West Trenton, NJ 08628 | 2015-03-03 |
| 1356774889 | Abrams Residence Assisted Living Facility | Assisted Living Facility | 50 Walter Street, Ewing, NJ 08628 | 2013-08-20 |
| 1710319686 | Jamie Lee Mucciarelli | Social Worker | 12 Wilburtha Rd, Ewing, NJ 08628 | 2013-08-02 |
| Find all providers in zip 08628 | ||||
| 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 |
|---|---|---|---|---|
| 1194342485 | Rachel Capuano | Social Worker | 26 Van Duyn Dr, Ewing, NJ 08618-1018 | 2020-07-02 |
| 1356963375 | Jessica Lena Mullins | Social Worker | 109 W Upper Ferry Rd Fl 1, Ewing, NJ 08628-2725 | 2020-05-13 |
| 1144762808 | Dennis Patrick Mcginnis | Social Worker | 317 Masterson Ct, Ewing, NJ 08618-1439 | 2016-11-12 |
| 1134675432 | Michele Mendenhall | Social Worker | 1103 Parkway Ave, Ewing, NJ 08628-3005 | 2016-08-28 |
| 1730569013 | Kathleen O'grady | Social Worker | 934 Parkway Ave # 201, Ewing, NJ 08618-2308 | 2015-06-02 |
| 1710319686 | Jamie Lee Mucciarelli | Social Worker | 12 Wilburtha Rd, Ewing, NJ 08628 | 2013-08-02 |
| 1164796587 | Zuline Gray Wilkinson | Social Worker | 15 Locke Ct, Ewing, NJ 08628-2645 | 2012-03-02 |
| 1023382595 | John Joseph Monahan | Social Worker | 24 Misty Morn Ln, Ewing, NJ 08638-1814 | 2012-03-01 |
| 1639477342 | Cassie Vanderveer | Social Worker | 79 Broad Ave, Ewing, NJ 08618-1616 | 2011-03-03 |
| 1528227030 | Michele Madiou | Social Worker | 1123 Lower Ferry Rd, Ewing, NJ 08618-1801 | 2008-06-09 |
| Find all providers in EWING | ||||
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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.