Provider Demographics
NPI:1619345774
Name:KIDS TOGETHER, LLC
Entity Type:Organization
Organization Name:KIDS TOGETHER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:
Authorized Official - Last Name:FEIGENBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:862-252-7466
Mailing Address - Street 1:444 NORTHFIELD AVE
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-3012
Mailing Address - Country:US
Mailing Address - Phone:862-252-7466
Mailing Address - Fax:
Practice Address - Street 1:444 NORTHFIELD AVE
Practice Address - Street 2:SUITE 2B
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-3012
Practice Address - Country:US
Practice Address - Phone:862-252-7466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KIDS TOGETHER, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-09-07
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC001594001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty