Individual provider Active NPI

Lisa M Sanders, LCSW

  • Clinical Social Worker
  • Kendall Park, NJ
National Provider Identifier
1073594602
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05334000 Issued in NJ
Practice address
3250 Route 27
103
Kendall Park, NJ 08824-1536
Phone
(908) 507-6671
Fax
(732) 951-2135
NPI assigned
Nov 10, 2005
Last updated
Jun 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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 44SC05334000 NJ Primary

Addresses

Primary practice location

3250 Route 27
103
Kendall Park, NJ 08824-1536

Mailing address

3250 State Route 27
103
Kendall Park, NJ 08824-1445
Phone (908) 507-6671

Other identifiers 1

IdentifierTypeStateIssuer
537624OtherNYVALUEOPTIONS

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
I20070816000587 NJ Practitioner - Clinical Social Worker 4688602709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Family Solutions LLCGroup PAC ID 4587935473, 14 clinicians

Practice addresses (Care Compare)

221 Laurel Rd
Suite 102
Voorhees, NJ 08043-8301
Phone (856) 772-5809

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056690NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Family Solutions, LLC Current Accepting new patients
Total Family Solutions, LLC CurrentSince Oct 14, 2017 Accepting new patients
Total Family Solutions, LLC CurrentSince Oct 14, 2017 Accepting new patients
Total Family Solutions, LLC Past Accepting new patients

Locations

1500 Saint Georges Ave
Ste E
Avenel, NJ 07001
Phone (856) 772-5800

221 Laurel Rd
Ste 102
Voorhees, NJ 08043
Phone (732) 406-7239

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1073594602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 STATE ROUTE 27",
            "address_2": "103",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241445",
            "telephone_number": "908-507-6671",
            "fax_number": "732-951-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 ROUTE 27",
            "address_2": "103",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241536",
            "telephone_number": "908-507-6671",
            "fax_number": "732-951-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05334000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "537624",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendall Park, NJ

Sources for this page

Verify at the official NPI Registry.