Embracing Stages

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EMBRACING STAGES

Practice address

151 Ocean Ave
North Middletown, NJ 07748-5656

Phone

(201) 449-4687

NPI assigned

Dec 9, 2019

Organization subpart

No

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

Authorized official

Name

Jennifer Marie Bristol, LCSWNPI 1437793114

Title

Licensed Clinical Social Worker

Phone

(201) 862-4015

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, and the practitioner matching its NPPES authorized official.

• Jennifer Bristol, LCSW

  • Clinical Social Worker
  • North Middletown, NJ
  • NPI 1437793114
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1144867276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 OCEAN AVE",
            "city": "NORTH MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077485656",
            "telephone_number": "201-862-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 OCEAN AVE",
            "city": "NORTH MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077485656",
            "telephone_number": "201-449-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACING STAGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "BRISTOL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "201-862-4015",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blueharbor Psychiatric Care LLC
• Jennifer Bristol, LCSW
• Christina Marie Cheselka, RT
• Cassy Craig, PT, DPT, ATC
• Nancy Ann Csontos, LCSW
• Paul Howard Ettinger, BCBA
• David William Hostnik, D.M.D.
• Erin Koehler
• Alyssa Krober, RDN
• Anthony Larocca

• Clinical Social Worker in North Middletown, NJ
• Providers in North Middletown, 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 May 8, 2024; 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.