Five Star Therapeutic Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FIVE STAR THERAPEUTIC SERVICES LLC

Practice address

58 Diane Dr
Tinton Falls, NJ 07753-7953

Phone

(848) 231-8429

NPI assigned

Oct 13, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Marisol Samol, LCSWNPI 1477114726

Title

Owner

Phone

(848) 231-8429

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marisol Samol, LCSW

  • Clinical Social Worker
  • Freehold, NJ
  • NPI 1477114726
  NPD Authorized official

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1053037879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 495",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077240495",
            "telephone_number": "848-231-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 DIANE DR",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077537953",
            "telephone_number": "848-231-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "SAMOL",
        "authorized_official_first_name": "MARISOL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "848-231-8429",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Resource Associates, Inc.
• Ryan Christopher Farley
• Samantha Farrell
• Zachary Fendrick
• Dinese M Fennel, OTR/L
• Alissa Fleming, M.S.,CCC-SLP
• Flex Physical Therapy LLC
• Nicole Flynn, BCBA
• Focus MD Red Bank NJ
• Gregg R Foos, MD

• Clinical Social Worker in Tinton Falls, NJ
• Providers in Tinton Falls, 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 Oct 13, 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.