MEDICARE: BE TRANSFORMED CLINICAL ASSOCIATES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1295688182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BE TRANSFORMED CLINICAL ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	532 MARLTON PIKE W
Second Line	:
City	:	MARLTON
State	:	NJ
Zip	:	08053-2075
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	143 GARFIELD AVE
Second Line	:
City	:	CLEMENTON
State	:	NJ
Zip	:	08021-3933
Country	:	US
Telephone Number	:	862-390-2916
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHARONN A LEIGH
Credential	:
Telephone Number	:	856-267-5428

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	03/04/2026

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