Lisa Sebro, MSW

Individual provider Active NPI School Social Worker · Pine Brook, NJ

NPI 1083182018 · NPPES record last updated Feb 14, 2019

Key facts

NPI: 1083182018
Entity type: Individual (NPI type 1)
Primary specialty: School Social Worker 1041S0200X
License: 1064524 (NJ)
Practice address: 3226 Rachel Ter
Pine Brook, NJ 07058
Phone: (973) 223-7051
NPI assigned: Nov 7, 2018
Sex: Female
Sole proprietor: Yes

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.

Yansa Foundation Community/Behavioral Health Agency · Pine Brook, NJ · NPI 1306302302

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
1064524	NJ	MD	School Social Worker

Practice roles

Organization	Specialty	Status	New patients
Yansa Foundation		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Social Worker	104100000X
Case Manager/Care Coordinator	171M00000X
School Social Worker	1041S0200X	1064524	NJ	Yes

Addresses

Primary practice location

3226 Rachel Ter
Pine Brook, NJ 07058

Mailing address

3226 Rachel Ter
Pine Brook, NJ 07058-9371
Phone (973) 223-7051

Other practice location 1

3226 Rachel Ter
Pine Brook, NJ 07058
Phone (973) 223-7051

Other practice location 2

3226 Rachel Ter
Pine Brook, NJ 07058
Phone (973) 223-7051

Other practice location 3

3226 Rachel Ter
Pine Brook, NJ 07058
Phone (973) 223-7051

Other practice location 4

3226 Rachel Ter
Pine Brook, NJ 07058
Phone (973) 223-7051

Other practice location 5

3226 Rachel Ter
Pine Brook, NJ 07058
Phone (973) 223-7051

Other practice location 6

3226 Rachel Terrace
Pine Brook, NJ 07058
Phone (973) 223-7051

Other practice location 7

3226 Rachel Ter
Pine Brook, NJ 07058
Phone (973) 223-7051

Other practice location 8

3226 Rachel Ter
Pine Brook, NJ 07058
Phone (973) 223-7051

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 14, 2019.

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1083182018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 RACHEL TER",
            "city": "PINE BROOK",
            "state": "NJ",
            "postal_code": "070589371",
            "telephone_number": "973-223-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 RACHEL TER",
            "city": "PINE BROOK",
            "state": "NJ",
            "postal_code": "07058",
            "telephone_number": "973-223-7051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3226 Rachel Ter",
            "address_purpose": "LOCATION",
            "city": "Pine Brook",
            "state": "NJ",
            "postal_code": "07058",
            "country_code": "US",
            "telephone_number": "973-223-7051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3226 Rachel Ter",
            "address_purpose": "LOCATION",
            "city": "Pine Brook",
            "state": "NJ",
            "postal_code": "07058",
            "country_code": "US",
            "telephone_number": "973-223-7051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3226 Rachel Ter",
            "address_purpose": "LOCATION",
            "city": "Pine Brook",
            "state": "NJ",
            "postal_code": "07058",
            "country_code": "US",
            "telephone_number": "973-223-7051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3226 Rachel Ter",
            "address_purpose": "LOCATION",
            "city": "Pine Brook",
            "state": "NJ",
            "postal_code": "07058",
            "country_code": "US",
            "telephone_number": "973-223-7051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3226 Rachel Ter",
            "address_purpose": "LOCATION",
            "city": "Pine Brook",
            "state": "NJ",
            "postal_code": "07058",
            "country_code": "US",
            "telephone_number": "973-223-7051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3226 Rachel Terrace",
            "address_purpose": "LOCATION",
            "city": "Pine Brook",
            "state": "NJ",
            "postal_code": "07058",
            "country_code": "US",
            "telephone_number": "973-223-7051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3226 Rachel Ter",
            "address_purpose": "LOCATION",
            "city": "Pine Brook",
            "state": "NJ",
            "postal_code": "07058",
            "country_code": "US",
            "telephone_number": "973-223-7051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3226 Rachel Ter",
            "address_purpose": "LOCATION",
            "city": "Pine Brook",
            "state": "NJ",
            "postal_code": "07058",
            "country_code": "US",
            "telephone_number": "973-223-7051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEBRO",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NJ",
            "license": "1064524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Brook, NJ

All providers in Pine Brook, NJ · School Social Worker in New Jersey

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.