Ernest Albert Stafford Jr., MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SL06774200 Issued in NJ

Practice address

519 West St
Camden, NJ 08103-3522

Phone

(856) 968-2320

Fax

(856) 968-2317

NPI assigned

Mar 28, 2022

Sex

Male

Sole proprietor

Yes

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.

• Project H.O.P.E., Inc.

  • Federally Qualified Health Center (FQHC)
  • Camden, NJ
  • NPI 1891969218
  NPD (past)

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1023768496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 TORRINGTON LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463611",
            "telephone_number": "609-835-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 WEST ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081033522",
            "telephone_number": "856-968-2320",
            "fax_number": "856-968-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "ERNEST",
        "middle_name": "ALBERT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06774200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antoinette Spevetz, M.D.
• Francis R Spitz, MD
• Sprain and Strain Center, PC
• Vinay Kumar Srinivasan, M.D.
• Megan Marie Staerk, APN
• Jessica Stage
• Gary E Stahl, MD
• Leroy Stanford Jr.
• Luke Thomas Stanisce, MD
• Anne Marie Stanley, NP

• Clinical Social Worker in Camden, NJ
• Providers in Camden, 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 Mar 28, 2022; 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.