SUMMER B BRANCOCCIO (NPI# 1386993970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386993970 |
| Entity Type | Individual |
| Full Name | SUMMER B BRANCOCCIO |
| Credential | LAC, LCADC |
| Practice Address |
120 Chestnut Street Ridgewood NJ 07450 |
| Mailing Address |
797 Edgewood Lane Fort Lee NJ 07024 |
| Practice Telephone | 2014443550 |
| Mailing Telephone | 2019175493 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |
| 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) |
37LC00183400 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
120 CHESTNUT STREET |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114958030 | Jean Susan Coe | Social Worker | 120 Chestnut Street, Ridgewood, NJ 07450 | 2006-07-06 |
| 1790914562 | Frank G Hoehne | Social Worker | 120 Chestnut Street, Ridgewood, NJ 07450 | 2009-07-14 |
| 1083843858 | Alice M. Dionisio | Social Worker | 120 Chestnut Street, Ridgewood, NJ 07450 | 2009-07-14 |
| 1528202777 | Michela M Tripodi | Social Worker | 120 Chestnut Street, Ridgewood, NJ 07450 | 2009-04-30 |
| 1568615540 | Alan Lincoln Koenig II | Social Worker | 120 Chestnut Street, Ridgewood, NJ 07450 | 2008-11-04 |
| 1073766069 | Jessica Lynn Szabo | Counselor | 120 Chestnut Street, Ridgewood, NJ 07450 | 2008-11-04 |
| 1417100397 | Pamela A Parmelli | Social Worker | 120 Chestnut Street, Ridgewood, NJ 07450 | 2008-10-23 |
| 1104077155 | Margaret T Doty | Social Worker | 120 Chestnut Street, Ridgewood, NJ 07450 | 2008-10-08 |
| 1659522605 | Patricia Ann Decker | Social Worker | 120 Chestnut Street, Ridgewood, NJ 07450 | 2008-10-08 |
| 1639320682 | Juliana Wernikowski Mansfield | Social Worker | 120 Chestnut Street, Ridgewood, NJ 07450 | 2008-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063067759 | Paula Lynn Kaplan | Counselor | 75 N Maple Ave Ste 201, Ridgewood, NJ 07450-3261 | 2019-08-08 |
| 1366862112 | Lorayne Coneys | Counselor | 102 S Maple Ave, Ridgewood, NJ 07450-4560 | 2014-04-21 |
| 1023387016 | Anna Dec | Counselor | 6801 Fresh Pond Rd, Apt.2f, Ridgewood, NY 11385-5233 | 2011-12-20 |
| 1275818007 | Edward R. Hernandez | Counselor | 2016 Himrod St, Ridgewood, NY 11385-1233 | 2011-10-12 |
| 1205047974 | Ludwig Philipp Hauser | Counselor | 5924 Norman St, Ridgewood, NY 11385-5935 | 2007-05-24 |
| 1063564094 | Steven H Khanjian | Counselor | 1172 E Ridgewood Ave Ste 4, Ridgewood, NJ 07450-3928 | 2007-01-18 |
| 1497804553 | David Richard Johnson | Counselor | 1156 E Ridgewood Ave, Suite 4, Ridgewood, NJ 07450-3935 | 2007-01-09 |
| 1376690347 | Michael Douglas James | Counselor | 61 North Maple Avenue, Suite 101c, Ridgewood, NJ 07450 | 2007-01-04 |
| 1851696397 | Denis Eduardo Blumberg, Lcsw, P.C. | Counselor | 5619 Metropolitan Ave, Ridgewood, NY 11385-1958 | 2011-01-13 |
| 1346575917 | Gail Hochfelder | Counselor | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2009-10-15 |
| Find all providers in RIDGEWOOD | ||||
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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.