Individual provider Active NPI

Lou Storey, LCSW, LCADC

  • Clinical Social Worker
  • Red Bank, NJ
National Provider Identifier
1013297936
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05431200 Issued in NJ
Practice address
43 W Front St
Suite 14a
Red Bank, NJ 07701-1624
Phone
(732) 530-0742
Fax
(732) 530-0742
NPI assigned
Aug 23, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00175100 NJ
Clinical Social Worker 1041C0700X 44SC05431200 NJ Primary

Addresses

Primary practice location

43 W Front St
Suite 14a
Red Bank, NJ 07701-1624

Mailing address

43 W Front St
Suite 14a
Red Bank, NJ 07701-1624
Phone (732) 530-0742

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37LC00175100NJMDAddiction (Substance Use Disorder) Counselor
44SC05431200NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1013297936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 W FRONT ST",
            "address_2": "SUITE 14A",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011624",
            "telephone_number": "732-530-0742",
            "fax_number": "732-530-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 W FRONT ST",
            "address_2": "SUITE 14A",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011624",
            "telephone_number": "732-530-0742",
            "fax_number": "732-530-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOREY",
        "first_name": "LOU",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00175100",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05431200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.