LAURA MASSANOVA (NPI# 1629513676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629513676 |
| Entity Type | Individual |
| Full Name | LAURA MASSANOVA |
| Credential | LCSW |
| Practice Address |
100 Kings Way E Suite C-2 Sewell NJ 08080-2237 |
| Mailing Address |
113b Central Ave Runnemede NJ 08078-1134 |
| Practice Telephone | 8567510505 |
| Mailing Telephone | 8562292041 |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2016-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
100 KINGS WAY E SUITE C-2 |
| City | SEWELL |
| State | NJ |
| Zip Code | 08080-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669452025 | Peter Stephen Konchak | Obstetrics & Gynecology | 100 Kings Way E, Suite # B5, Sewell, NJ 08080-2237 | 2006-01-20 |
| 1598303133 | Stc Pediatrics LLC | Pediatrics | 100 Kings Way E, Sewell, NJ 08080-2237 | 2019-12-13 |
| 1952848905 | Kennedy Medical Group Practice PC | Family Medicine | 100 Kings Way E, Suite D2, Sewell, NJ 08080-2237 | 2017-01-30 |
| 1013361955 | Tracey Gregory | Respiratory Therapist, Certified | 100 Kings Way E, Sewell, NJ 08080-2237 | 2016-04-18 |
| 1386003085 | Cornerstone Foot & Ankle | Podiatrist | 100 Kings Way E, Suite D6, Sewell, NJ 08080-2237 | 2016-02-23 |
| 1467823765 | New Jersey Podiatric Physicians & Surgeons Group, LLC | Podiatrist | 100 Kings Way E, Suite D6, Sewell, NJ 08080-2237 | 2015-10-13 |
| 1750778635 | Brenda Bartkovsky | Nurse Practitioner | 100 Kings Way E, Suite D2, Sewell, NJ 08080-2237 | 2015-04-19 |
| 1104240431 | Julaine Miller | Podiatrist | 100 Kings Way E, Suite D6, Sewell, NJ 08080-2237 | 2014-02-06 |
| 1659795144 | Josh Miller | Podiatrist | 100 Kings Way E, Suite D6, Sewell, NJ 08080-2237 | 2014-02-05 |
| 1487901633 | Frank Oware | Podiatrist | 100 Kings Way E, Suite D6, Sewell, NJ 08080-2237 | 2012-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180301 | Peter Ansong | Pharmacist | 500 Egg Harbor Road, Sewell, NJ 08080 | 2020-09-27 |
| 1477018752 | Shi-iii Washington Township LLC | Alzheimer Center (Dementia Center) | 339 Greentree Road, Washington Township, NJ 08080 | 2019-01-31 |
| 1245741495 | Assoc. for Retarded Citizens. Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Fawn Drive, Sewell, NJ 08080 | 2017-10-16 |
| 1851802029 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 275 Greentree Road, Sewell, NJ 08080 | 2017-10-16 |
| 1598284770 | Bryan Hendricks | Psychologist | 123 Egg Harbor Rd., Suite 302, Sewell, NJ 08080 | 2017-09-19 |
| 1912426339 | Mary Faralli | Speech-Language Pathologist | 24 Upton Way, Sewell, NJ 08080 | 2017-09-18 |
| 1669990578 | Oaks Integrated Care | Clinic/Center | 322 Fishpond Rd, Sewell, NJ 08080 | 2017-08-31 |
| 1972032316 | Nutan K Ravani | Social Worker | 3 Heritage Valley Drive, Sewell, NJ 08080 | 2017-06-08 |
| 1447784038 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 West Warren Avenue, Sewell, NJ 08080 | 2017-04-20 |
| 1326572173 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 363 Ganttown Road, Turnersville, NJ 08080 | 2017-04-19 |
| Find all providers in zip 08080 | ||||
| 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 |
|---|---|---|---|---|
| 1962974055 | Wendy Hinch | Social Worker | 6 Crescent Hollow Dr, Sewell, NJ 08080-9655 | 2018-12-30 |
| 1710487368 | Abu Sannoh | Social Worker | 239 Hurffville Crosskeys Rd Ste 239, Sewell, NJ 08080-4006 | 2018-02-20 |
| 1124541628 | Between The Lines: A Clinic Offering Reading, Speech Language, and Occ | Social Worker | 137 Egg Harbor Rd Ste H, Sewell, NJ 08080-9404 | 2017-07-18 |
| 1972032316 | Nutan K Ravani | Social Worker | 3 Heritage Valley Drive, Sewell, NJ 08080 | 2017-06-08 |
| 1144762485 | Leann Dibenedetto | Social Worker | 114 Blackwood Barnsboro Rd, Blackwood Barnsboro Rd, Sewell, NJ 08080-4200 | 2016-11-16 |
| 1922487362 | Anne Gaglianese | Social Worker | 407 Morning Dove Cir, Sewell, NJ 08080-3409 | 2015-05-19 |
| 1982239232 | Marjorie Brown | Social Worker | 101 E Holly Ave, Sewell, NJ 08080-2648 | 2020-03-06 |
| 1588214985 | Gia Valcourt | Social Worker | 100 Heritage Valley Dr Ste 1, Sewell, NJ 08080-1752 | 2019-09-17 |
| 1669970257 | Julie Kotran | Social Worker | 342 Egg Harbor Rd Ste B, Sewell, NJ 08080-1856 | 2018-01-29 |
| 1780199000 | Cynthia Lynn Davidson | Social Worker | 137 Egg Harbor Rd Ste H, Sewell, NJ 08080-9404 | 2017-12-08 |
| Find all providers in SEWELL | ||||
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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.