Craig Nussbaum LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CRAIG NUSSBAUM LLC

Practice address

128 Ivins Ave
Merchantville, NJ 08109-2924

Phone

(609) 605-2847

NPI assigned

Apr 8, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Craig Nussbaum, LCSW

Title

President

Phone

(609) 605-2847

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1184204802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 IVINS AVE",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "081092924",
            "telephone_number": "609-605-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 IVINS AVE",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "081092924",
            "telephone_number": "609-605-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG NUSSBAUM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUM",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-605-2847",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "craignussbaum1@comcast.net",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "128 Ivins Ave",
            "city": "Merchantville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081092924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lillee Chianese, DC
• Children'S Continuum of Care
• Cianni Alyssa Clarke
• John J Colyar Jr., PHD
• Concord Health & Rehabilitation, Inc.
• Joseph Peter Curreri, DO
• Peter Andrew Curreri, DO
• David Romisher DMD LLC
• Elise Dell'Oro, FNP-BC
• Dominic A. Diorio, MD

• Clinical Social Worker in Merchantville, NJ
• Providers in Merchantville, 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 Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.