Lisa A Sturm, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05395900 Issued in NJ

Practice address

1020 Springfield Ave
Suite 106
Mountainside, NJ 07092-2988

Phone

(973) 903-1205

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2024 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1104902501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SPRINGFIELD AVE",
            "address_2": "SUITE 106",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922988",
            "telephone_number": "973-903-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SPRINGFIELD AVE",
            "address_2": "SUITE 106",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922988",
            "telephone_number": "973-903-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURM",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05395900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spine Center of NJ
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• Stepping Stones Pediatric Therapy LLC
• Van S Stevens, DMD
• Sunrise House Foundation, Inc.
• Supportive Space Counseling Center
• Jake Sussman, LCSW
• Steven Sussman, PH.D.
• Jessica Ann Sweeney, M.S. ED., CCC-SLP

• Clinical Social Worker in Mountainside, NJ
• Providers in Mountainside, 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 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.