C-LINE COMMUNITY OUTREACH SERVICES (NPI# 1871146498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871146498 |
| Entity Type | Organization |
| Organization Name | C-LINE COMMUNITY OUTREACH SERVICES |
| Practice Address |
110 Martin Luther King Jr Dr Jersey City NJ 07305-3168 |
| Mailing Address |
Po Box 15802 Jersey City NJ 07305-0802 |
| Practice Telephone | 2012001965 |
| Mailing Telephone | 2019362918 |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |
| Authorized Official Name | CAROLINE NELSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2012001965 |
| Authorized Official Credential | LCADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336431675 | C-line Community Outreach Services | Counselor | 110 Martin Luther King Jr Dr, Jersey City, NJ 07305-3168 | 2011-05-04 |
| Street Address |
110 MARTIN LUTHER KING JR DR |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07305-3168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336431675 | C-line Community Outreach Services | Counselor | 110 Martin Luther King Jr Dr, Jersey City, NJ 07305-3168 | 2011-05-04 |
| 1013343946 | Caroline Nelson | Counselor | 110 Martin Luther King Jr Dr, Jersey City, NJ 07305-3168 | 2013-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518584358 | Lloyd Maquiling | Physical Therapist | 198 Old Bergen Rd #2622, Jersey City, NJ 07305 | 2020-06-27 |
| 1487293932 | Acj Consultants, Inc. | Counselor | 1600 Kennedy Blvd, Jersey City, NJ 07305 | 2020-01-02 |
| 1942767066 | Carerivet Medical Services LLC | Clinic/Center | 26 University Place Blvd, 1st Floor, Jersey City, NJ 07305 | 2019-02-25 |
| 1538669759 | Marie Day | Home Health Aide | 1709 Kennedy Boulevard, Jersey City, NJ 07305 | 2018-02-14 |
| 1881100162 | Heather Primus | Assistant Behavior Analyst | 120 Seaview Avenue, Ground Floor, Jersey City, NJ 07305 | 2017-12-21 |
| 1932642816 | Reem H Salem | Physical Therapist | 2120 John F Kennedy Blvd, Jersey City, NJ 07305 | 2016-11-28 |
| 1629449020 | Anjanie Persaud | Pharmacist | 260 Armstrong Ave, Jersey City, NJ 07305 | 2015-10-12 |
| 1518334440 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 321 State Rt 440, Jersey City, NJ 07305 | 2015-08-26 |
| 1306212832 | Hudson Milestones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9-11 Kensington Avenue, Jersey City, NJ 07305 | 2015-08-19 |
| 1144628397 | Martin Rodriguez | Counselor | 110 Martin Luther Drive, Jersey City, NJ 07305 | 2014-12-19 |
| Find all providers in zip 07305 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417426255 | Kerry Gorbos | Counselor | 395 Grand St Fl 2, Jersey City, NJ 07302-4238 | 2018-11-23 |
| 1629560784 | Jacqueline Elizabeth Ramos | Counselor | 120 Sussex St, Jersey City, NJ 07302-4402 | 2018-06-05 |
| 1790272631 | Michele R Reid | Counselor | 2 Pinecrest Rd # 2, Jersey City, NJ 07305-1223 | 2018-04-17 |
| 1104299213 | Melissa Reed | Counselor | 135 Wegman Pkwy, Jersey City, NJ 07305-3314 | 2015-11-11 |
| 1346612793 | Richa Sikka | Counselor | 219 Montgomery St, Jersey City, NJ 07302-5020 | 2015-10-26 |
| 1023400546 | Aynur Fox | Counselor | 101 Hudson St Fl 21, Jersey City, NJ 07302-3929 | 2015-02-19 |
| 1144628397 | Martin Rodriguez | Counselor | 110 Martin Luther Drive, Jersey City, NJ 07305 | 2014-12-19 |
| 1619305927 | Donald D. Mendoza | Counselor | 61 Cottonwood St, Jersey City, NJ 07305-4832 | 2013-10-23 |
| 1083959316 | Cynthia Davies | Counselor | 38 Boyd Ave, Jersey City, NJ 07304-1406 | 2012-11-27 |
| 1336431675 | C-line Community Outreach Services | Counselor | 110 Martin Luther King Jr Dr, Jersey City, NJ 07305-3168 | 2011-05-04 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07305 |
Please comment or provide details below to improve the information on C-LINE COMMUNITY OUTREACH SERVICES.
| 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.