Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

INDEPENDENCE FAMILY THERAPY SERVICES, LLC
NPI 1104722719
Social Worker - Clinical in Marlton, NJ

Active since October 19, 2026
1 EVES DR STE 149, MARLTON, NJ 08053(856) 883-0061 Get Directions Write a Review

NPPES record added: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Independence Family Therapy Services, Llc NPPES

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

INDEPENDENCE FAMILY THERAPY SERVICES, LLC (NPI 1104722719) is a healthcare organization registered as a clinical in Marlton, New Jersey and active in the NPI registry since October 2026. The organization lists Jared Randiek, Owner, as its authorized official.

NPPES Registry Identity

NPI1104722719
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameINDEPENDENCE FAMILY THERAPY SERVICES, LLC
Location Address1 EVES DR STE 149Marlton, NJ 08053-3125
Mailing Address1 Eves Dr Ste 149Marlton, NJ 08053-3125 · (856) 883-0061
Organization SubpartNo
Authorized OfficialJared RandiekOwner · (856) 883-0061
Enumeration DateOctober 19, 2026
NPPES CertifiedOctober 19, 2026
✔ NPI 1104722719 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.
1 EVES DR STE 149, Marlton, NJ 08053

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 Independence Family Therapy Services, LLC's NPI number?

The NPI number for Independence Family Therapy Services, LLC is 1104722719. It was assigned to this organization in the NPPES registry on October 19, 2026.

Where is Independence Family Therapy Services, LLC located?

Independence Family Therapy Services, LLC is located at 1 Eves Dr Ste 149, Marlton, NJ 08053. The listed phone number is (856) 883-0061.

What is Independence Family Therapy Services, 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 Independence Family Therapy Services, LLC was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.