Provider Demographics
NPI:1902003304
Name:NJC CONSULTING, LLC
Entity Type:Organization
Organization Name:NJC CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NADINE
Authorized Official - Middle Name:JILL
Authorized Official - Last Name:CARPENTER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:610-742-7725
Mailing Address - Street 1:3202 HARTFORD CT
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-1069
Mailing Address - Country:US
Mailing Address - Phone:610-742-7725
Mailing Address - Fax:610-407-0288
Practice Address - Street 1:487 DEVON PARK DR
Practice Address - Street 2:STE 205
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-1808
Practice Address - Country:US
Practice Address - Phone:610-742-7725
Practice Address - Fax:610-407-0288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0144011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5597415OtherAETNA PROVIDER NUMBER
PA232008OtherVAUE OPTIONS PROVIDER NUM
PA232008OtherVAUE OPTIONS PROVIDER NUM