LUGENIA SMALL


Address: 4 Eakin St Ste 4a, Salem, NJ 08079-1704
Phone: 6096651102

LUGENIA SMALL (NPI# 1487146403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487146403
Entity Type Individual
Full Name LUGENIA SMALL
Practice Address 4 Eakin St Ste 4a
Salem
NJ 08079-1704
Mailing Address 10530 Ivy Close Rd
Huntersville
NC 28078-5668
Practice Telephone 6096651102
Enumeration Date 2018-06-05
Last Update Date 2018-06-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
37PC00520300 NJ Behavioral Health & Social Service Providers

Office Location

Street Address 4 EAKIN ST STE 4A
City SALEM
State NJ
Zip Code 08079-1704

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1366005829 Fresenius Medical Care Salem, LLC Clinic/Center 5 New Jersey Route 45, Salem, NJ 08079 2019-04-19
1750750071 The Arc of Salem County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 150 Salem Woodstown Rd, Salem, NJ 08079 2015-09-16
1730347964 Josephine M Santiago Registered Nurse 310 Woodstown Rd., Salem, NJ 08079 2008-05-23
1033394895 Samia Fatima Mian Internal Medicine 5 Route 45 Ste 101, Mannington, NJ 08079 2007-12-28
1619165891 Fouad K. Michail Ophthalmology 330 Salem Woodstown Rd Rt 45, Suite 5, Salem, NJ 08079 2007-10-12
1205058567 Maryville, Inc. Clinic/Center 567 Salem-quinton Rd, Salem, NJ 08079 2007-05-03
1649399486 Womens Health Providers LLC Clinic/Center 330 Salem Woodstown Road, Suite#6, Salem, NJ 08079 2007-03-29
1346378213 Cooper Pediatrics Pediatrics 330 Woodstown Road., Medical Arts Bldg 7, Salem, NJ 08079 2007-03-01
1932256278 The Surgery Center of Salem County LLC Clinic/Center 336 Woodstown Rd., Salem, NJ 08079 2007-01-05
1285725713 The Surgery Center of Salem County LLC Clinic/Center 336 Woodstown Rd, Salem, NJ 08079 2006-09-28
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730786740 Julie Lynn Perkins Counselor 26394 Highway C, Salem, MO 65560-8655 2020-10-02
1003426800 Bethany Grace Lee Counselor 508 E Main St Ste 500, Salem, VA 24153-4325 2020-08-06
1225655848 Shannon Roosma Counselor 2212 Mulberry St, Salem, VA 24153-6013 2020-06-30
1013489707 Stephen Todd Rohrbeck Counselor 4060 Macleay Rd Se Ste A, Salem, OR 97317-5801 2018-12-19
1346718467 Claire Jones Counselor 355 High St Se Ste 2, Salem, OR 97301-3613 2018-11-06
1851873319 James Joseph Briggs Counselor 930 25th St Se, Salem, OR 97301-5045 2018-08-31
1588165807 Cassie Fort Counselor 4532 Poinsettia St Ne, Salem, OR 97305-9500 2018-02-22
1336688654 Carilee Ball Counselor 838 County Road 3233, Salem, MO 65560-0473 2017-02-20
1174972640 Nina Marie Perard Counselor 2095 Robins Ln Se, Apt 232, Salem, OR 97306-2766 2016-06-06
1114312162 Nancy Rodgers Counselor 147 Way Rd, Salem, CT 06420-3716 2015-04-06
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Competitor

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City SALEM
Zip Code 08079

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Dataset Information

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.

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