Individual provider Active NPI

Deidre Stamos Lonza, LCSW, LCADC

  • Clinical Social Worker
  • Brielle, NJ
National Provider Identifier
1093457152
Registry record updated Apr 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05829200 Issued in NJ
Practice address
800 Riverview Dr Ste 104
Brielle, NJ 08730-1749
Phone
(732) 526-5562
NPI assigned
Apr 10, 2022
Last updated
Apr 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2022

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 37LC00296400 NJ
Clinical Social Worker 1041C0700X 44SC05829200 NJ Primary

Addresses

Primary practice location

800 Riverview Dr Ste 104
Brielle, NJ 08730-1749

Mailing address

2501 Autumn Dr
Manasquan, NJ 08736-2134
Phone (732) 859-5516

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37LC00296400NJMDAddiction (Substance Use Disorder) Counselor
44SC05829200NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1649548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649548800000",
    "number": "1093457152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 AUTUMN DR",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362134",
            "telephone_number": "732-859-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 RIVERVIEW DR STE 104",
            "city": "BRIELLE",
            "state": "NJ",
            "postal_code": "087301749",
            "telephone_number": "732-526-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONZA",
        "first_name": "DEIDRE",
        "middle_name": "STAMOS",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-10",
        "last_updated": "2022-04-10",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00296400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05829200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brielle, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.