Provider Demographics
NPI:1225684772
Name:JENNIFER CELLA-ROE, LCSW, LLC
Entity Type:Organization
Organization Name:JENNIFER CELLA-ROE, LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:CELLA ROE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:609-703-4455
Mailing Address - Street 1:325 E. JIMMIE LEEDS RD
Mailing Address - Street 2:STE 7 #270
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-4126
Mailing Address - Country:US
Mailing Address - Phone:609-703-8270
Mailing Address - Fax:609-646-3235
Practice Address - Street 1:325 E. JIMMIE LEEDS RD
Practice Address - Street 2:STE 7 #270
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-4126
Practice Address - Country:US
Practice Address - Phone:609-703-8270
Practice Address - Fax:609-646-3235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-12
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1790246296OtherNPI