Organization
GENUINE ME OF SOUTH JERSEY INC
Active
Organization
GENUINE ME OF SOUTH JERSEY INC
Active
Other names
Genuine Me LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE R FADOOL MSW, LCSW (PRESIDENT)
(609) 828-0097
Entity
Organization
Contact information
Practice address
111 CHURCH RD, MARLTON, NJ 08053
(609) 828-0097
(856) 802-0885
Mailing address
3 CRANBURY HILL CT, MOUNT LAUREL, NJ 08054-4849
(609) 828-0097
(856) 802-0885
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05576600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0450088977
NEW JERSERY CERTIFICATE OF INC (PROFIT)
NJ
Enumeration date
08/06/2014
Last updated
08/16/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up