JACQUELINE CARABALLO (NPI# 1417407206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417407206 |
| Entity Type | Individual |
| Full Name | JACQUELINE CARABALLO |
| Practice Address |
330 Federal St Camden NJ 08103-1121 |
| Practice Telephone | 8565805733 |
| Practice Fax Number | 8562257650 |
| Mailing Telephone | 8565805733 |
| Mailing Fax Number | 8562257650 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518465996 | Jacqueline Caraballo | Nurse Practitioner | 100 De Kruif Place Apt 27h, Bronx, NY 10475 | 2018-01-31 |
| Street Address |
330 FEDERAL ST |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831257765 | Kimberlee Rene'e Adams | Nurse Practitioner | 330 Federal St, Camden County Correctional Facility Medical, Camden, NJ 08103-1121 | 2006-12-04 |
| 1023635505 | Elizabeth Bemah | Nurse Practitioner | 330 Federal St, Camden, NJ 08103-1121 | 2020-06-30 |
| 1043717150 | Camden County Corrections | Clinic/Center | 330 Federal St, Camden, NJ 08103-1121 | 2018-04-06 |
| 1336640184 | Loria Marie Mcgruder | Social Worker | 330 Federal St, Camden, NJ 08103-1121 | 2018-02-27 |
| 1184125015 | Victoria Daggan | Social Worker | 330 Federal St, Camden, NJ 08103-1121 | 2018-02-26 |
| 1942716444 | William Foncham Ngwa | Nurse Practitioner | 330 Federal St, Camden, NJ 08103-1121 | 2017-12-19 |
| 1174073969 | Jennifer E Dunn | Counselor | 330 Federal St, Camden, NJ 08103-1121 | 2016-10-05 |
| 1609326495 | Kelvin Ogheneruemu Kobodje | Counselor | 330 Federal St, Camden, NJ 08103-1121 | 2016-10-05 |
| 1295283109 | Colleen Snow | Counselor | 330 Federal St, Camden, NJ 08103-1121 | 2016-09-20 |
| 1306219993 | Wood J Polynice | Counselor | 330 Federal St, Camden, NJ 08103-1121 | 2015-11-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891275467 | Genesis Counseling Center, Inc | Counselor | 1000 Atlantic Avenue, 5th Floor, Camden, NJ 08104 | 2018-08-14 |
| 1881183994 | Genesis Counseling Center, Inc | Counselor | 1000 Atlantic Ave., Camden, NJ 08104 | 2018-05-03 |
| 1346791829 | Kemberling and Willey Pa | Counselor | 71 Elm St Ste 1, Camden, ME 04843-1904 | 2016-10-19 |
| 1942692280 | Danielle Shockley I | Counselor | 2553 S 8th St # I2, Camden, NJ 08104-2521 | 2015-02-24 |
| 1841592789 | Seton School, Inc. | Counselor | 1 Free St, Camden, ME 04843-1912 | 2010-11-29 |
| 1760683429 | Martha Mitchell Goodman | Counselor | 111 Sunset Ave # A, Camden, NC 27921-9641 | 2007-05-30 |
| 1336753797 | Olivia Caroline Von Rosenberg | Counselor | 208 King St, Camden, SC 29020-4720 | 2020-09-03 |
| 1053884346 | Sara Ellen Anderson | Counselor | 709 Mill St, Camden, SC 29020-4738 | 2019-01-09 |
| 1134618937 | Genesis Counseling Center, Inc | Counselor | 1000 Atlantic Ave., Camden, NJ 08104 | 2018-05-07 |
| 1528575511 | Linley Crisp | Counselor | 115 Jefferson St Sw, Camden, AR 71701-3945 | 2017-12-29 |
| Find all providers in CAMDEN | ||||
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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.