REBECCA FORNARO (NPI# 1245853589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245853589 |
| Entity Type | Individual |
| Full Name | REBECCA FORNARO |
| Credential | LCSW |
| Practice Address |
101 Route 130 S Cinnaminson NJ 08077-2845 |
| Mailing Address |
415 Evans Ct Mount Laurel NJ 08054-4206 |
| Practice Telephone | 8563895458 |
| Mailing Telephone | 9082357934 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC05923400 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
101 ROUTE 130 S |
| City | CINNAMINSON |
| State | NJ |
| Zip Code | 08077-2845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992866115 | Dawn L Pasko | Counselor | 101 Route 130 S, Hamilton Building, Suite 321, Cinnaminson, NJ 08077-2845 | 2006-12-12 |
| 1669019527 | Shalet M Jefferson | Clinic/Center | 101 Route 130 S, Cinnaminson, NJ 08077-2845 | 2019-12-10 |
| 1396389664 | Rachel Beth Gordon | Social Worker | 101 Route 130 S, Cinnaminson, NJ 08077-2845 | 2019-10-30 |
| 1760917827 | Toyin Oladele | Nurse Practitioner | 101 Route 130 S, Cinnaminson, NJ 08077-2845 | 2017-04-26 |
| 1972045672 | Dane Hardy | Chiropractor | 101 Route 130 S, Suite 10, Cinnaminson, NJ 08077-2845 | 2016-11-11 |
| 1164883476 | Intercollaborative Care Inc | Counselor | 101 Route 130 S, 535, Cinnaminson, NJ 08077-2845 | 2016-03-14 |
| 1174980486 | Augustine Bessong | Counselor | 101 Route 130 S, Cinnaminson, NJ 08077-2845 | 2016-01-19 |
| 1497120984 | Rs Counseling & Wellness Center | Social Worker | 101 Route 130 S, Grant Building, Suite 408, Cinnaminson, NJ 08077-2845 | 2015-12-09 |
| 1487039806 | Wikare Health Clinic Inc. | Clinic/Center | 101 Route 130 S, Madison Bldge, Ste 308, Cinnaminson, NJ 08077-2845 | 2015-07-27 |
| 1235526872 | Axis I Professional Services, LLC | Counselor | 101 Route 130 S, Ste #325, Cinnaminson, NJ 08077-2845 | 2015-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260537 | Brendan Hastings | Physician Assistant | 1210 Us-130, Cinnaminson, NJ 08077 | 2018-09-27 |
| 1942789037 | Professional Sport & Spine LLC | Chiropractor | 101 Route 130 S- Presidential Center, Washington Bldg Suite 10, Cinnaminson, NJ 08077 | 2018-08-09 |
| 1932635356 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Wayne Dr, Cinnaminson, NJ 08077 | 2017-05-04 |
| 1215463633 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1103 Thomas Ave, Cinnaminson, NJ 08077 | 2017-05-04 |
| 1497281109 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2900 New Albany Rd, Cinnaminson, NJ 08077 | 2017-05-02 |
| 1285169961 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2810 Hunterdon Dr, Cinnaminson, NJ 08077 | 2017-05-01 |
| 1841725470 | Jodi Laughlin | Nurse Practitioner | 400 Highway, Riverton, NJ 08077 | 2017-04-20 |
| 1306383161 | Marwa Yacout | Pharmacist | 1210 Rt.130 North, Cinnaminson, NJ 08077 | 2017-01-31 |
| 1780130989 | Kelly Kerrigan | Clinic/Center | 101 Us Route 130, Cinnaminson, NJ 08077 | 2016-08-28 |
| 1043629710 | Sharea Farmer | Social Worker | 101 Route 130, Grant Building, Suite 408, Cinnaminson, NJ 08077 | 2014-08-07 |
| Find all providers in zip 08077 | ||||
| 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 |
|---|---|---|---|---|
| 1255964672 | Sarah Peters | Social Worker | 101 Route 130 S Ste 408, Cinnaminson, NJ 08077-2842 | 2020-02-13 |
| 1548812381 | Katrina Brophy | Social Worker | 1260 Evergreen Ln, Cinnaminson, NJ 08077-2412 | 2019-07-11 |
| 1124416771 | Earnestine Williams Simpson | Social Worker | 101 Route 130 S Bldg Suite9, Cinnaminson, NJ 08077-2845 | 2015-01-06 |
| 1972853786 | Maria J Gonzalez | Social Worker | 504 Camelot Court, Cinnaminson, NJ 08077 | 2012-09-19 |
| 1932498375 | Deborah L Phillips | Social Worker | 101 Route 130 S Ste 510, Cinnaminson, NJ 08077 | 2011-04-06 |
| 1396389664 | Rachel Beth Gordon | Social Worker | 101 Route 130 S, Cinnaminson, NJ 08077-2845 | 2019-10-30 |
| 1497120984 | Rs Counseling & Wellness Center | Social Worker | 101 Route 130 S, Grant Building, Suite 408, Cinnaminson, NJ 08077-2845 | 2015-12-09 |
| 1104118363 | Leslie Ann Morris | Social Worker | 101 Route 130 S, Suite 510, Cinnaminson, NJ 08077-2845 | 2011-05-06 |
| 1376848929 | Patricia Louise Cephas | Social Worker | 101 Route 130 S, 510, Cinnaminson, NJ 08077-2845 | 2011-01-12 |
| 1639329428 | Nadine George-harrington | Social Worker | 101 Route 130 S, Jefferson Building - Suite 560, Cinnaminson, NJ 08077-2845 | 2008-09-29 |
| Find all providers in CINNAMINSON | ||||
| City | CINNAMINSON |
| Zip Code | 08077 |
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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.