ACHIEVING NIRVANA LLC (NPI# 1578173282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578173282 |
| Entity Type | Organization |
| Organization Name | ACHIEVING NIRVANA LLC |
| Practice Address |
2402 Browning Rd Pennsauken NJ 08110-1917 |
| Practice Telephone | 2676304688 |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |
| Authorized Official Name | AMBER PHAM (THERAPIST) |
| Authorized Official Telephone | 2676304688 |
| Authorized Official Credential | LCSW |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | CERTIFICATION OF FORMATION | 0450498715 | 01 |
| Other Name | Type Code |
|---|---|
| Amber Pham | Other Name - Individual/Organization |
| Street Address |
2402 BROWNING RD |
| City | PENNSAUKEN |
| State | NJ |
| Zip Code | 08110-1917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073138681 | Amber Pham | Counselor | 2402 Browning Rd, Pennsauken, NJ 08110-1917 | 2020-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982063541 | Bathsheba Swain | Community Based Residential Treatment Facility, Mental Illness | 2217 43rd St, Pennsauken, NJ 08110 | 2016-02-11 |
| 1255752754 | Pegasus The Arts, Inc. | Day Training, Developmentally Disabled Services | 2830 Marlton Pike, Pennsauken, NJ 08110 | 2013-12-31 |
| 1508021643 | Senior Management IIi LLC | Assisted Living Facility | 7999 Rt 130 North, Pennsauken, NJ 08110 | 2008-07-28 |
| 1023292042 | Top Rank Home Care LLC | Home Health | 4610u Westfield Ave, Pennsauken, NJ 08110 | 2007-12-27 |
| 1508920794 | Aurangzaib Khan | Dentist | 5517 Westfield Ave, Pennsauken, NJ 08110 | 2006-12-21 |
| 1760542518 | Jo Ann Donna Pecca | Family Medicine | Worknet Occupational Medicine, 9370 Rt. 130 N., Ste 200, Pennsauken, NJ 08110 | 2006-12-11 |
| 1619982600 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4601 Westfield Ave, Pennsauken, NJ 08110 | 2006-07-29 |
| 1447205968 | Pennsauken Imaging, LLC | Radiology | 6027 Route 130 South, Pennsauken, NJ 08110 | 2006-05-23 |
| 1972735116 | South Jersey Primary Care Physicians & Rehabilitation Center P.C. | Chiropractor | 3801 Marlton Pike, Pennsauken, NJ 08110 | 2009-08-21 |
| 1366946915 | Edwin Javier Rodriguez | Registered Nurse | 2136 Cove Road Pennsuaken, Pennsuaken, NJ 08110-0811 | 2018-03-20 |
| Find all providers in zip 08110 | ||||
| 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 |
|---|---|---|---|---|
| 1275092504 | Richard Rivera | Social Worker | 7999 N Route 130, Pennsauken, NJ 08110-1402 | 2019-03-16 |
| 1902155716 | Joanne Jett-el | Social Worker | 6146 Pleasant Ave, Pennsauken, NJ 08110-3537 | 2012-09-07 |
| 1902152788 | Stacey Lee | Social Worker | 2475 Mcclellan Ave Bldg C, Pennsauken, NJ 08109-4683 | 2012-07-30 |
| 1780835470 | Christine Marie Antonelli | Social Worker | 2400 Mcclellan Ave, Suite 101 East, Pennsauken, NJ 08109-4609 | 2008-10-01 |
| 1366467292 | Antonelli & Associates, Inc. | Social Worker | 2400 Mcclellan Blvd, Suite 101 East, Pennsauken, NJ 08109-4609 | 2006-07-13 |
| 1194358788 | Shana Cullen | Social Worker | 2500 Mcclellan Ave Ste 300, Pennsauken, NJ 08109-0001 | 2020-02-21 |
| 1306193958 | Marissa Weick | Social Worker | 2475 Mcclellan Avenue, Pennsauken, NJ 08109 | 2012-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417916 | Emily Hocking LLC | Social Worker | 3322 Route 22 Ste 806, Branchburg, NJ 08876-4406 | 2020-11-06 |
| 1699376566 | Francesca Bautista | Social Worker | 246 Outwater Ln, Garfield, NJ 07026-2606 | 2020-11-05 |
| 1326649419 | Lillian Serrano | Social Worker | 1881 S Delsea Dr Ste 7, Vineland, NJ 08360-6398 | 2020-11-04 |
| 1730780297 | Caroline Pence | Social Worker | 38 Waldron Ave, Summit, NJ 07901-2806 | 2020-11-02 |
| 1750981312 | Kylie Cleesattel | Social Worker | 37 Maple St Fl 2, Bloomfield, NJ 07003-3601 | 2020-10-31 |
| 1942800636 | Rising Road Counseling | Social Worker | 9 S Main St Ste 1b, Marlboro, NJ 07746-1539 | 2020-10-30 |
| 1043810831 | Carol Somerville | Social Worker | 9 Tenafly Rd, Tenafly, NJ 07670-2610 | 2020-10-29 |
| 1164022083 | Sarah Jack Services, LLC | Social Worker | 256 Sherman Ave, Teaneck, NJ 07666-3311 | 2020-10-29 |
| 1770183725 | Catherine Friedl Hartmann | Social Worker | 17 Cleveland Ave, Waldwick, NJ 07463-1622 | 2020-10-29 |
| 1053911131 | Megan Flanagan Lee | Social Worker | 230 Kinderkamack Rd Unit 309, River Edge, NJ 07661-2187 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
| City | PENNSAUKEN |
| Zip Code | 08110 |
Please comment or provide details below to improve the information on ACHIEVING NIRVANA LLC.
| 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.