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NPI Code Detail

MEDICARE: ACENDA, INC.

MEDICARE: ACENDA, INC.
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
11041C0700XClinical Social Worker888880104NJ
2101YM0800XMental Health Counselor888880104NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982752333
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACENDA, INC.
Provider Business Mailing Address
First Line : 42 DELSEA DR S
Second Line :
City : GLASSBORO
State : NJ
Zip : 08028-2621
Country : US
Telephone Number : 844-422-3632
Fax Number : 856-881-5508
Provider Business Practice Location Address
First Line : 42 DELSEA DR S
Second Line :
City : GLASSBORO
State : NJ
Zip : 08028-2621
Country : US
Telephone Number : 844-422-3632
Fax Number : 856-881-7614
Authorized Official
Title or Position : CFO, TREASURER
Name : JEREMY WAMPLER
Credential :
Telephone Number : 856-881-8689
Provider Enumeration Date : 01/08/2007
Last Update Date : 02/04/2026

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1194876615 — MS. LISAANNE MARIE DONAHUE LPC
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1902957855 — MS. NICOLE D STEMBERGER LCSW
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