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BLACK FALLS THERAPY AND WELLNESS, LLC
NPI 1629822184
Social Worker - Clinical in Westampton, NJ

Active since April 12, 2024
215 MAIN ST., SUITE 2A, WESTAMPTON, NJ 08060(609) 491-2924 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Black Falls Therapy And Wellness, Llc NPPES

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

BLACK FALLS THERAPY AND WELLNESS, LLC (NPI 1629822184) is a healthcare organization registered as a clinical in Westampton, New Jersey and active in the NPI registry since April 2024. The organization lists Kristina M Odumes, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1629822184
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBLACK FALLS THERAPY AND WELLNESS, LLC
Location Address215 MAIN ST., SUITE 2AWestampton, NJ 08060
Mailing Address26 Fireside CtWillingboro, NJ 08046-2020 · (609) 491-2924
Phone(609) 491-2924
Organization SubpartNo
Authorized OfficialKristina M OdumesClinic Director · (609) 491-2924
Enumeration DateApril 12, 2024
NPPES CertifiedApril 9, 2024
✔ NPI 1629822184 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.
215 MAIN ST., SUITE 2A, Westampton, NJ 08060
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Other Names 1

Former Legal Business NameBlack Falls Therapy And Wellness, Llc

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

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 Black Falls Therapy And Wellness, LLC's NPI number?

The NPI number for Black Falls Therapy And Wellness, LLC is 1629822184. It was assigned to this organization in the NPPES registry on April 12, 2024.

Where is Black Falls Therapy And Wellness, LLC located?

Black Falls Therapy And Wellness, LLC is located at 215 Main St., Suite 2A, Westampton, NJ 08060. The listed phone number is (609) 491-2924.

What is Black Falls Therapy And Wellness, 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 Black Falls Therapy And Wellness, LLC was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.