Individual provider Active NPI

Susan Truland, LCSW

  • Clinical Social Worker
  • Forked River, NJ
National Provider Identifier
1124160643
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04335100 Issued in NJ
Practice address
620 Lacey Rd
Suite 5
Forked River, NJ 08731-2244
Phone
(609) 693-5777
Fax
(609) 693-5887
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 44SC04335100 NJ Primary

Addresses

Primary practice location

620 Lacey Rd
Suite 5
Forked River, NJ 08731-2244

Mailing address

620 Lacey Rd
Suite 5
Forked River, NJ 08731-2244
Phone (609) 693-5777

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
I20201109001513 NJ Practitioner - Clinical Social Worker 3971913641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

620 Lacey Rd
Suite 5
Forked River, NJ 08731-2244
Phone (609) 693-5777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC04335100NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Counseling & Family Center, PA Clinical CurrentSince Jun 25, 2020 Accepting new patients

Locations

620 Lacey Rd
Ste 5
Forked River, NJ 08731
Phone (609) 693-5777

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.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124160643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 LACEY RD",
            "address_2": "SUITE 5",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312244",
            "telephone_number": "609-693-5777",
            "fax_number": "609-693-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 LACEY RD",
            "address_2": "SUITE 5",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312244",
            "telephone_number": "609-693-5777",
            "fax_number": "609-693-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRULAND",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04335100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

Verify at the official NPI Registry.