Active NPI
Christian Bellissimo, MSW,LCSW, RPT, LLC
- Clinical Social Worker
- Shrewsbury, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- CHRISTIAN BELLISSIMO, MSW,LCSW, RPT, LLC
- Practice address
- 179 Avenue at the CMN Ste 103a
Shrewsbury, NJ 07702-4804 - Phone
- (732) 609-7272
- NPI assigned
- May 5, 2022
- Last updated
- May 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christian Bellissimo, LCSW
- Title
- Owner
- Phone
- (732) 609-7272
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
179 Avenue at the CMN Ste 103a
Shrewsbury, NJ 07702-4804
Mailing address
179 Avenue at the CMN Ste 103a
Shrewsbury, NJ 07702-4804
Phone (732) 609-7272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44SC04658900 | Other | NJ | LICENSE |
National Provider Directory
National Provider DirectoryLocations
179 Avenue At the Cmn
Ste 103A
Shrewsbury, NJ 07702
Phone (732) 609-7272
Practitioners & affiliated clinicians
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.
-
- Clinical Social Worker
- Eatontown, NJ
- NPI 1831486406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651708800000",
"number": "1184369977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 AVENUE AT THE CMN STE 103A",
"city": "SHREWSBURY",
"state": "NJ",
"postal_code": "077024804",
"telephone_number": "732-609-7272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 AVENUE AT THE CMN STE 103A",
"city": "SHREWSBURY",
"state": "NJ",
"postal_code": "077024804",
"telephone_number": "732-609-7272"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTIAN BELLISSIMO, MSW,LCSW, RPT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-05",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A",
"authorized_official_last_name": "BELLISSIMO",
"authorized_official_first_name": "CHRISTIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-609-7272",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "44SC04658900",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shrewsbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.