Active NPI
Jesse Stone, LMSW, LSW
- Social Worker
- East Brunswick, NJ
National Provider Identifier
1104391671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06398900
- Practice address
- 63 Milltown Rd
East Brunswick, NJ 08816-2378 - Phone
- (732) 659-0683
- NPI assigned
- Oct 10, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 103880-1 | NY | |
| Social Worker | 104100000X | 44SL06398900 | NJ | Primary |
Addresses
Primary practice location
63 Milltown Rd
East Brunswick, NJ 08816-2378
Mailing address
611 W 171St St Apt 53a
New York, NY 10032-1913
Phone (414) 737-3854
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06398900 | NJ | MD | Social Worker |
| 103880-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olive Branch Therapy Group | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- East Brunswick, NJ
- NPI 1104294446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1104391671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W 171ST ST APT 53A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100321913",
"telephone_number": "414-737-3854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 MILLTOWN RD",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088162378",
"telephone_number": "732-659-0683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "JESSE",
"credential": "LMSW, LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-10",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "103880-1",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06398900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.