Individual provider Active NPI

Laura Rose Stern, LCSW

  • Clinical Social Worker
  • Somerset, NJ
National Provider Identifier
1053433227
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05185000 Issued in NJ
Practice address
15 Clyde Rd
Suite 102
Somerset, NJ 08873-3425
Phone
(908) 720-1776
Fax
(732) 521-5113
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05185000 NJ Primary

Addresses

Primary practice location

15 Clyde Rd
Suite 102
Somerset, NJ 08873-3425

Mailing address

15 Clyde Rd
Suite 102
Somerset, NJ 08873-3425
Phone (908) 720-1776

Other names 1

  • Miss Laura Rose Schulz Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150106001853 NJ Practitioner - Clinical Social Worker 8022331669 Practice locations: Monroe Township, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05185000NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053433227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CLYDE RD",
            "address_2": "SUITE 102",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733425",
            "telephone_number": "908-720-1776",
            "fax_number": "732-521-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CLYDE RD",
            "address_2": "SUITE 102",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733425",
            "telephone_number": "908-720-1776",
            "fax_number": "732-521-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "LAURA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05185000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SCHULZ",
            "middle_name": "ROSE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.