Healthcare Provider Details

I. General information

NPI: 1831051481
Provider Name (Legal Business Name): VCSNJ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 GORDON AVE
LAWRENCEVILLE NJ
08648-1033
US

IV. Provider business mailing address

PO BOX 6573
LAWRENCEVILLE NJ
08648-0573
US

V. Phone/Fax

Practice location:
  • Phone: 609-844-0452
  • Fax: 609-844-0518
Mailing address:
  • Phone: 609-844-0452
  • Fax: 609-844-0518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH ALBERTS
Title or Position: MBR
Credential: LCSW
Phone: 609-844-0452