Active NPI
George R Paulsen, MA LPC
- Clinical Social Worker
- Brick, NJ
National Provider Identifier
1043484314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 37PC00119300
- Practice address
- 2095 Route 88
Suite 3
Brick, NJ 08724 - Phone
- (732) 701-0440
- Fax
- (732) 701-0419
- NPI assigned
- Apr 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 37PC00119300 | NJ | Primary |
Addresses
Primary practice location
2095 Route 88
Suite 3
Brick, NJ 08724
Mailing address
PO Box 1926
Brick, NJ 08723
Phone (732) 701-0440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00119300 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adults & Children Behavioral Counseling Center LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Brick, NJ
- NPI 1700026382
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208390400000",
"number": "1043484314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1926",
"city": "BRICK",
"state": "NJ",
"postal_code": "08723",
"telephone_number": "732-701-0440",
"fax_number": "732-701-0419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2095 ROUTE 88",
"address_2": "SUITE 3",
"city": "BRICK",
"state": "NJ",
"postal_code": "08724",
"telephone_number": "732-701-0440",
"fax_number": "732-701-0419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULSEN",
"first_name": "GEORGE",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "MA LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-17",
"last_updated": "2008-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "37PC00119300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.