COMMUNITIES UNITED HEALTHCARE CORPORATION (NPI# 1154654259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154654259 |
| Entity Type | Organization |
| Organization Name | COMMUNITIES UNITED HEALTHCARE CORPORATION |
| Practice Address |
800 Broad St Suite Edison Pl. Newark NJ 07102-2760 |
| Mailing Address |
39 Cleremont Ave Irvington NJ 07111-3126 |
| Practice Telephone | 9732425588 |
| Mailing Telephone | 8622236324 |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-09-08 |
| Authorized Official Name | MR. EDWIN E DUNGA (PRESIDENT/CEO) |
| Authorized Official Telephone | 8622236324 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
44SC01301800 | NJ | Behavioral Health & Social Service Providers |
| N | 225C00000X | Rehabilitation Counselor | 37PC00373000 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 46TR00426600 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC05161500 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICARE | 521121 | 01 |
| Street Address |
800 BROAD ST SUITE EDISON PL. |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-2760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306241757 | Shyam Sunder Mudigonda | Pharmacist | 800 Broad St, Newark, NJ 07102-2760 | 2014-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303051 | Nerlande Therlonge | Social Worker | 48 Bragaw Ave # 1, Newark, NJ 07112-1546 | 2020-10-12 |
| 1073121448 | Heart Matters LLC | Social Worker | 1018 N Barrett Ln, Newark, DE 19702-6912 | 2020-07-21 |
| 1851919229 | Jennifer Kristina Boyer | Social Worker | 12 Columbia Ave, Newark, NJ 07106-2102 | 2020-07-11 |
| 1609492131 | Jasmin Collazo | Social Worker | 555 Mount Prospect Ave Apt 12e, Newark, NJ 07104-1538 | 2020-06-20 |
| 1306479357 | Anne Louise Fordham | Social Worker | 1159 E Union St Apt 1, Newark, NY 14513-9201 | 2020-02-18 |
| 1528600392 | Sonia Mulero | Social Worker | 140 Bergen St Rm F-1772, Newark, NJ 07103-2425 | 2019-10-14 |
| 1942842935 | Lauren Barile | Social Worker | 2644 Kirkwood Highway #250, Newark, DE 19711 | 2019-10-11 |
| 1043868417 | Scott B Barnthouse Crc LLC | Social Worker | 419 Creek Bend Dr, Newark, DE 19711-3765 | 2019-08-29 |
| 1174176945 | The Winn-win Solution, LLC. | Social Worker | 262 Chapman Rd Ste 103, Newark, DE 19702-5418 | 2019-07-22 |
| 1669030045 | Lisa Gray | Social Worker | 2 Center St Apt 498, Newark, NJ 07102-4563 | 2019-05-31 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.