Individual provider Active NPI

Stephany Victoria Piermattei, MSW,LCSW

  • Clinical Social Worker
  • Brigantine, NJ
National Provider Identifier
1073102448
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC005965500 Issued in NJ
Practice address
234 33Rd St S
Brigantine, NJ 08203-1635
Phone
(609) 335-9790
NPI assigned
Jan 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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 44SC005965500 NJ Primary

Addresses

Primary practice location

234 33Rd St S
Brigantine, NJ 08203-1635

Mailing address

234 33Rd St S
Brigantine, NJ 08203-1635
Phone (609) 335-9790

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
I20240717000815 NJ Practitioner - Clinical Social Worker 2163967951 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC005965500NJMDClinical Social Worker

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.

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1073102448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 33RD ST S",
            "city": "BRIGANTINE",
            "state": "NJ",
            "postal_code": "082031635",
            "telephone_number": "609-335-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 33RD ST S",
            "city": "BRIGANTINE",
            "state": "NJ",
            "postal_code": "082031635",
            "telephone_number": "609-335-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERMATTEI",
        "first_name": "STEPHANY",
        "middle_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "MSW,LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC005965500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigantine, NJ

Sources for this page

Verify at the official NPI Registry.