Individual provider Active NPI

Michele Inzelbuch, LCSW, LCADC

  • Clinical Social Worker
  • Matawan, NJ
National Provider Identifier
1063875466
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05632200 Issued in NJ
Practice address
1070 Route 34 Ste 214
Matawan, NJ 07747-3469
Phone
(732) 704-4331
NPI assigned
Apr 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00232000 NJ
Clinical Social Worker 1041C0700X 44SC05632200 NJ Primary

Addresses

Primary practice location

1070 Route 34 Ste 214
Matawan, NJ 07747-3469

Mailing address

23 N Delsea Dr Unit B
Clayton, NJ 08312-1637
Phone (856) 423-7700

Other practice location 1

12 John St
Morganville, NJ 07751-9762
Phone (732) 647-6474

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2018 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37LC00232000NJMDAddiction (Substance Use Disorder) Counselor
44SC05632200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michele D Inzelbuch Clinical CurrentSince Feb 1, 2023 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Zen Warrior Counseling Center LLC Clinical CurrentSince Feb 1, 2023 Accepting new patients
Lindsay Meyer-Thein LLC Clinical PastSince Aug 1, 2022 Accepting new patients
Brad Morder LPC LLC PastSince Sep 1, 2019 Accepting new patients

Locations

175 W Cohawkin Rd
Ste C
Clarksboro, NJ 08020

23 N Delsea Dr
#B
Clayton, NJ 08312
Phone (856) 226-4852

Interoperability endpoints

  • Direct secure messaging: micheleinzelbuch@tdh.allscriptsdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1063875466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 N DELSEA DR UNIT B",
            "city": "CLAYTON",
            "state": "NJ",
            "postal_code": "083121637",
            "telephone_number": "856-423-7700",
            "fax_number": "856-423-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 ROUTE 34 STE 214",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473469",
            "telephone_number": "732-704-4331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 John St",
            "address_purpose": "LOCATION",
            "city": "Morganville",
            "state": "NJ",
            "postal_code": "077519762",
            "country_code": "US",
            "telephone_number": "732-647-6474",
            "fax_number": "856-423-0823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INZELBUCH",
        "first_name": "MICHELE",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00232000",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05632200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

Verify at the official NPI Registry.