Active NPI
Daniel Paul Pitzer, LCSW
- Clinical Social Worker
- Chatham, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05185600
- Practice address
- 248 Main St
Chatham, NJ 07928-2412 - Phone
- (732) 298-0301
- Fax
- (732) 495-1606
- NPI assigned
- Sep 14, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R055664 | NY | |
| Clinical Social Worker | 1041C0700X | 44SC05185600 | NJ | Primary |
Addresses
Primary practice location
248 Main St
Chatham, NJ 07928-2412
Mailing address
651 Monmouth Ave
Port Monmouth, NJ 07758-1517
Phone (732) 298-0301
Other practice location 1
651 Monmouth Ave
Port Monmouth, NJ 07758-1517
Phone (732) 298-0301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179291 | Other | NJ | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- New York University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
248 Main St
FL 2
Chatham, NJ 07928-2412
Phone (732) 298-0301
651 Monmouth Ave
Port Monmouth, NJ 07758-1517
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05185600 | NJ | MD | Clinical Social Worker |
| R055664 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breaking the Chain Counseling, LLC | Clinical | Current | Accepting new patients |
Locations
248 Main St
Fl 2
Chatham, NJ 07928
Phone (732) 298-0301
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Chatham, NJ
- NPI 1447315395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1043543663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 MONMOUTH AVE",
"city": "PORT MONMOUTH",
"state": "NJ",
"postal_code": "077581517",
"telephone_number": "732-298-0301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 MAIN ST",
"city": "CHATHAM",
"state": "NJ",
"postal_code": "079282412",
"telephone_number": "732-298-0301",
"fax_number": "732-495-1606"
}
],
"practiceLocations": [
{
"address_1": "651 Monmouth Ave",
"address_purpose": "LOCATION",
"city": "Port Monmouth",
"state": "NJ",
"postal_code": "077581517",
"country_code": "US",
"telephone_number": "732-298-0301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PITZER",
"first_name": "DANIEL",
"middle_name": "PAUL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-14",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R055664",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05185600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "179291",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chatham, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.