Sully Anette Soto, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1670 Whitehorse Hamilton Square Rd
Hamilton, NJ 08690-3541

Phone

(609) 394-5157

NPI assigned

Aug 6, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tree of Life Counseling Center, LLC

  • Mental Health Counselor
  • Freehold, NJ
  • NPI 1841711306

  Clinical

  Medicare reassignment NPD
• Mental Gains

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ewing, NJ
  • NPI 1497573471
  NPD Authorized official

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1093360190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 WHITEHORSE HAMILTON SQUARE RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903541",
            "telephone_number": "609-394-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 WHITEHORSE HAMILTON SQUARE RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903541",
            "telephone_number": "609-394-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "SULLY",
        "middle_name": "ANETTE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06340300",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasser S. Soliman, MD
• Ryan Song, PA-C
• Jasen Sood, D.O.
• Temilola Adedayo Sopeju, M.D
• Samuel J Soriero Jr., DC PA
• Yezenid Soto
• Heather Anne Tyrell Souders, D.O.
• Special Parent Advocacy Group a NJ Non Profit Corporation
• Special Parent Advocacy Group a NJ Non Profit Corporation
• Noemi Spinazzi, MD

• Clinical Social Worker in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.