Individual provider Active NPI

Stephanie L. Mastorio, LCSW

  • Clinical Social Worker
  • South Amboy, NJ
National Provider Identifier
1114689619
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06022100
Practice address
14 Crescent Ave
South Amboy, NJ 08879-1405
Phone
(732) 407-7146
NPI assigned
Oct 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC06022100 Primary

Addresses

Primary practice location

14 Crescent Ave
South Amboy, NJ 08879-1405

Mailing address

14 Crescent Ave
South Amboy, NJ 08879-1405
Phone (732) 407-7146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221205000031 NJ Practitioner - Clinical Social Worker 0840669495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14 Crescent Ave
South Amboy, NJ 08879-1405

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Real Talk Therapy Clinical CurrentSince Aug 28, 2025 Accepting new patients
Thrive Counseling LLC CurrentSince Nov 21, 2022 Accepting new patients
Modern Therapy, LLC Past Accepting new patients
Lifebulb LLC PastSince Oct 16, 2022 Accepting new patients

Locations

7 Lincoln Hwy
Ste 224
Edison, NJ 08820
Phone (732) 479-4763

505 Main St
Toms River, NJ 08753
Phone (732) 272-0127

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1114689619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CRESCENT AVE",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088791405",
            "telephone_number": "732-407-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CRESCENT AVE",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088791405",
            "telephone_number": "732-407-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTORIO",
        "first_name": "STEPHANIE",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "44SC06022100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Amboy, NJ

Sources for this page

Verify at the official NPI Registry.