Healthcare Provider Details

I. General information

NPI: 1235920554
Provider Name (Legal Business Name): CATHOLIC CHARITIES DIOCESE OF TRENTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2025
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 N WARREN ST
TRENTON NJ
08608-1308
US

IV. Provider business mailing address

383 W STATE ST
TRENTON NJ
08618-5705
US

V. Phone/Fax

Practice location:
  • Phone: 609-599-1246
  • Fax: 609-599-9271
Mailing address:
  • Phone: 609-394-3202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARLENE A LAO-COLLINS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 609-394-3202