Individual provider Active NPI

Sophia Schuster

  • Clinical Social Worker
  • Jamesburg, NJ
National Provider Identifier
1154068690
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06413100 Issued in NJ
Practice address
79 E Railroad Ave
Jamesburg, NJ 08831-1207
Phone
(732) 561-8555
NPI assigned
May 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06691400 NJ
Clinical Social Worker 1041C0700X 44SC06413100 NJ Primary

Addresses

Primary practice location

79 E Railroad Ave
Jamesburg, NJ 08831-1207

Mailing address

79 E Railroad Ave
Jamesburg, NJ 08831-1207
Phone (732) 561-8555

Other names 1

  • Sophia Sofocli Other name

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
I20241230001108 NJ Practitioner - Clinical Social Worker 3577090729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Theracorp, LLCGroup PAC ID 8426319104, 20 clinicians

Practice addresses (Care Compare)

79 E Railroad Ave
Jamesburg, NJ 08831-1207
Phone (732) 561-8555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06691400NJMDSocial Worker
44SC06413100NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Theracorp, LLC Clinical CurrentSince Nov 13, 2024 Accepting new patients
Theracorp, LLC Clinical CurrentSince Nov 13, 2024 Accepting new patients

Locations

86 Brunswick Woods Dr
East Brunswick, NJ 08816
Phone (732) 561-8555

271 US Highway 46
Ste C209
Fairfield, NJ 07004
Phone (732) 561-8555

203 Candlewood Cmns
Howell, NJ 07731
Phone (732) 561-8555

79 E Railroad Ave
Jamesburg, NJ 08831
Phone (732) 561-8555

1696 Route 88
Wall Township, NJ 08724
Phone (732) 561-8555

Organizations & group practices 2

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": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1154068690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 E RAILROAD AVE",
            "city": "JAMESBURG",
            "state": "NJ",
            "postal_code": "088311207",
            "telephone_number": "732-561-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 E RAILROAD AVE",
            "city": "JAMESBURG",
            "state": "NJ",
            "postal_code": "088311207",
            "telephone_number": "732-561-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUSTER",
        "first_name": "SOPHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06691400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06413100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "SOFOCLI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jamesburg, NJ

Sources for this page

Verify at the official NPI Registry.