Communities United Healthcare Corporation

Clinical Social Worker · Newark, NJ

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At a glance

800 Broad St, Newark, NJ 07102-2760

NPPES record updated Sep 8, 2009. Public records can lag behind changes at a practice.

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Practice location

800 Broad St Suite Edison Pl.
Newark, NJ 07102-2760

Professional details: NPI, taxonomy & registry record

NPI1154654259

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Registry details

Primary taxonomy: Clinical Social Worker
Taxonomy code: 1041C0700X
Enumeration date: Sep 8, 2009
Record updated: Sep 8, 2009

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Clinical Social Worker

1041C0700X · Primary

License reported: 44SC05161500 NJ

Clinical Social Worker

1041C0700X

License reported: 44SC01301800 NJ

Specialty details in registry

225C00000X

License reported: 37PC00373000 NJ

Occupational Therapist

225X00000X

License reported: 46TR00426600 NJ

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

800 Broad St
Suite Edison Pl.
Newark, NJ 07102-2760

Phone: (973) 242-5588

Mailing address

39 CLEREMONT AVE

IRVINGTON, NJ 071113126

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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