Jacqueline Stadler, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05320800 Issued in NJ

Legal business name

JACQUELINE STADLER, LCSW, LLC

Practice address

87 W End Ave
Somerville, NJ 08876-1828

Phone

(908) 547-0620

NPI assigned

Nov 14, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Jacqueline S Stadler, LCSWNPI 1033320122

Title

Owner-LCSW

Phone

(908) 227-5318

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Suzanne Stadler, LCSW

  • Clinical Social Worker
  • Perth Amboy, NJ
  • NPI 1033320122
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1447459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447459200000",
    "number": "1134593122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 MADISON AVE",
            "city": "DUNELLEN",
            "state": "NJ",
            "postal_code": "088121109",
            "telephone_number": "908-227-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 W END AVE",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088761828",
            "telephone_number": "908-547-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE STADLER, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-14",
        "last_updated": "2015-11-14",
        "status": "A",
        "authorized_official_last_name": "STADLER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER-LCSW",
        "authorized_official_telephone_number": "908-227-5318",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05320800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Isenhour
• Zhanna Ivanov, M.D., M.S.
• J. Rowden Opticians Incorportated
• Kara M Jacobs, MD
• Douglas Jacobus, DDS, MD
• Rubama Jahangir, APN
• Jason R Jannicelli, MS PAC
• Seher Javaid, MD
• Jay Ann Shop, Inc.
• Jose S Jean Philippe

• Clinical Social Worker in Somerville, NJ
• Providers in Somerville, 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 Nov 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.