MEDICARE: NURTURING HEARTS AND MINDS THERAPY

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	:	1770371734
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURTURING HEARTS AND MINDS THERAPY

Provider Business Mailing Address
First Line	:	86 OMAHA AVE
Second Line	:
City	:	ROCKAWAY
State	:	NJ
Zip	:	07866-1514
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	86 OMAHA AVE
Second Line	:
City	:	ROCKAWAY
State	:	NJ
Zip	:	07866-1514
Country	:	US
Telephone Number	:	908-442-5797
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JENNIFER YAWGER
Credential	:
Telephone Number	:	929-924-6024

Provider Enumeration Date	:	04/29/2025
Last Update Date	:	04/29/2025

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