Individual provider Active NPI

Sarah Mandel, RN, LCSW

  • Clinical Social Worker
  • Mountainside, NJ
National Provider Identifier
1003219742
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05697200 Issued in NJ
Practice address
608 Sherwood Pkwy
Suite 101
Mountainside, NJ 07092-2512
Phone
(908) 477-8557
Fax
(908) 233-0580
NPI assigned
Oct 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05697200 NJ Primary

Addresses

Primary practice location

608 Sherwood Pkwy
Suite 101
Mountainside, NJ 07092-2512

Mailing address

608 Sherwood Pkwy
Suite 101
Mountainside, NJ 07092-2512
Phone (908) 477-8557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1003219742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 SHERWOOD PKWY",
            "address_2": "SUITE 101",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922512",
            "telephone_number": "908-477-8557",
            "fax_number": "908-233-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 SHERWOOD PKWY",
            "address_2": "SUITE 101",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922512",
            "telephone_number": "908-477-8557",
            "fax_number": "908-233-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDEL",
        "first_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "RN, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05697200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountainside, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.