Individual provider Active NPI

Seton Elizabeth Cuccio, LCSW

  • Clinical Social Worker
  • Eatontown, NJ
National Provider Identifier
1205307907
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05910000 Issued in NJ
Practice address
200 Wyckoff Road
3Rd Floor
Eatontown, NJ 07724
Phone
(862) 781-3755
Fax
(732) 443-3144
NPI assigned
Dec 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00327000 NJ
Social Worker 104100000X 44SL06281300 NJ
School Social Worker 1041S0200X 1062616 NJ
Clinical Social Worker 1041C0700X 44SC05910000 NJ Primary

Addresses

Primary practice location

200 Wyckoff Road
3Rd Floor
Eatontown, NJ 07724

Mailing address

200 Wyckoff Road
3Rd Floor
Eatontown, NJ 07724
Phone (862) 781-3757

Other practice location 1

36 South St
Manasquan, NJ 08736-3440
Phone (732) 223-4673

Other names 1

  • Seton Elizabeth Danish Former 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
I20201118000635 NJ Practitioner - Clinical Social Worker 0446661789 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00327000NJMDAddiction (Substance Use Disorder) Counselor
44SL06281300NJMDSocial Worker
44SC05910000NJMDClinical Social Worker
1062616NJMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group, PC CurrentSince Jun 15, 2022 Accepting new patients
CPC Integrated Health, Inc. Current Accepting new patients
CPC Behavioral Healthcare, Inc CurrentSince Aug 31, 2020 Accepting new patients
The Samaritan Center at the Jersey Shore Addiction (Substance Use Disorder) Past Accepting new patients

Locations

10 Industrial Way E
Eatontown, NJ 07724
Phone (732) 935-2220

22 Court St
Freehold, NJ 07728
Phone (732) 780-7387

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

75 N Bath Ave
Long Branch, NJ 07740
Phone (732) 923-5231

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Organizations & group practices 4

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": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1205307907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WYCKOFF ROAD",
            "address_2": "3RD FLOOR",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "862-781-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WYCKOFF ROAD",
            "address_2": "3RD FLOOR",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "862-781-3755",
            "fax_number": "732-443-3144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 South St",
            "address_purpose": "LOCATION",
            "city": "Manasquan",
            "state": "NJ",
            "postal_code": "087363440",
            "country_code": "US",
            "telephone_number": "732-223-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUCCIO",
        "first_name": "SETON",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-07",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00327000",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06281300",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NJ",
            "license": "1062616",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05910000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SETON",
            "last_name": "DANISH",
            "middle_name": "ELIZABETH",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.