Individual provider Active NPI

Penny M Beil, LCSW

  • Clinical Social Worker
  • Cranford, NJ
National Provider Identifier
1194231233
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00284500 Issued in NJ
Practice address
15 Alden St
Cranford, NJ 07016-2149
Phone
(973) 867-8300
Fax
(908) 695-3227
NPI assigned
Dec 27, 2017
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC00284500 NJ Primary

Addresses

Primary practice location

15 Alden St
Cranford, NJ 07016-2149

Mailing address

175 E Hawthorn Pkwy Ste 235
Vernon Hills, IL 60061-1454
Phone (847) 868-3435

Other practice location 1

1055 Parsippany Blvd Ste 404
Parsippany, NJ 07054-1272
Phone (732) 982-2888

Other identifiers 1

IdentifierTypeStateIssuer
44SC00284500OtherNJLCSW

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
I20180918001003 NJ Practitioner - Clinical Social Worker 6901157791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC00284500NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Penny M Beil Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.pennybeil@148376.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1194231233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E HAWTHORN PKWY STE 235",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611454",
            "telephone_number": "847-868-3435",
            "fax_number": "847-859-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ALDEN ST",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162149",
            "telephone_number": "973-867-8300",
            "fax_number": "908-695-3227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 Parsippany Blvd Ste 404",
            "address_purpose": "LOCATION",
            "city": "Parsippany",
            "state": "NJ",
            "postal_code": "070541272",
            "country_code": "US",
            "telephone_number": "732-982-2888",
            "fax_number": "847-859-5885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEIL",
        "first_name": "PENNY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-27",
        "last_updated": "2025-09-12",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00284500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "44SC00284500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

Verify at the official NPI Registry.