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BY ORIGINAL DESIGN LLC NPI 1376315275


NPI Information

NPI: 1376315275
Provider Name: BY ORIGINAL DESIGN, LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
104 SMORTZ LN
GLASSBORO, NJ
ZIP 08028
Phone: (856) 812-4116
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BY ORIGINAL DESIGN, LLC is a clinical social worker in Glassboro, NJ. The provider is 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. BY ORIGINAL DESIGN, LLC NPI is 1376315275. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

104 SMORTZ LN
GLASSBORO, NJ
ZIP 08028-290
Phone: (856) 812-4116

The provider's authorized official is Joanne Turner .
The authorized official title is Owner/therapist and has the following contact phone number (856) 812-4116.

The enumeration date for this NPI number is 10/24/2023 and was last updated on 10/24/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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