Stephen Patillo, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04720700 Issued in NJ

Practice address

1925 Pennington Rd
Ewing, NJ 08618-1105

Phone

(609) 882-1898

Fax

(609) 882-3880

NPI assigned

Dec 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Guidance Center Corporation

  • Psychiatric Hospital
  • Ewing, NJ
  • NPI 1548529795
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003972449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LANDON DR",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085051404",
            "telephone_number": "609-291-9151",
            "fax_number": "609-882-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 PENNINGTON RD",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086181105",
            "telephone_number": "609-882-1898",
            "fax_number": "609-882-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATILLO",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04720700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghaben Dhirubhai Patel, M.S.P'COLOGY/TOXICO
• Niti Patel, DPM
• Urvashi Patel, RPH
• Vikram R Patel, RPH
• Paths to Healing LLC
• Pear Suite Provider Group NJ, P.C.
• Pen Physical Therapy & Rehab Services, P.C.
• Pennington Medical Group, PC
• Pennington Pharmacy LLC
• Jillian Perez, BA, CPRS

• Clinical Social Worker in Ewing, NJ
• Providers in Ewing, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.