SOUTH ORANGE BLOSSOMS, LLC
NPI 1063985679
Social Worker - Clinical in Summit, NJ

Active since January 07, 2019
467 SPRINGFIELD AVE STE 205, SUMMIT, NJ 07901(973) 370-5686 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 13, 2021, Jan 7, 2019 (2 updates tracked since 2019).

About South Orange Blossoms, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH ORANGE BLOSSOMS, LLC (NPI 1063985679) is a healthcare organization registered as a clinical in Summit, New Jersey and active in the NPI registry since January 2019. The organization maintains a secondary practice location in Maplewood and lists Jennifer Burleson, Owner/psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1063985679
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSOUTH ORANGE BLOSSOMS, LLC
Location Address467 SPRINGFIELD AVE STE 205Summit, NJ 07901-2622
Mailing Address467 Springfield Ave Ste 205Summit, NJ 07901-2622 · (973) 370-5686
Organization SubpartNo
Authorized OfficialJennifer BurlesonOwner/psychotherapist · (973) 370-5686
Enumeration DateJanuary 7, 2019
Last NPPES UpdateApril 13, 20212 updates tracked since enumeration
NPPES CertifiedApril 13, 2021
NPI 1063985679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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.
467 SPRINGFIELD AVE STE 205, Summit, NJ 07901

Other Names 1

Doing Business AsSouth Orange Blossoms, Llc

Secondary Practice Location 1

Location 1697 Valley StMaplewood, NJ 07040-2641 · Phone (973) 370-5686

Other Identifiers 1

Other1881983633Npi Type 1

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
467 SPRINGFIELD AVE STE 205
SUMMIT, NJ 07901
Social Worker
467 SPRINGFIELD AVE STE 205
SUMMIT, NJ 07901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Orange Blossoms, LLC's NPI number?

The NPI number for South Orange Blossoms, LLC is 1063985679. It was assigned to this organization in the NPPES registry on January 7, 2019.

Where is South Orange Blossoms, LLC located?

South Orange Blossoms, LLC is located at 467 Springfield Ave Ste 205, Summit, NJ 07901. The listed phone number is (973) 370-5686.

What is South Orange Blossoms, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for South Orange Blossoms, LLC was last updated on April 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.