Sari Sholom, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00185000 Issued in NJ

Practice address

242 Old New Brunswick Road
Suite 100
Piscatawny, NJ 08854

Phone

(732) 463-1212

Fax

(732) 566-7727

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Center for Marriage & Family Therapy, P.C.

  • Marriage & Family Therapist
  • Matawan, NJ
  • NPI 1144494477

  Clinical

  NPD (past)
• Mindy Staum, LCSW, P.a

  • Clinical Social Worker
  • Coral Springs, FL
  • NPI 1083922561
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205905577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 HIGHWAY 34",
            "address_2": "SUITE 3",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077476680",
            "telephone_number": "732-264-8878",
            "fax_number": "732-566-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 OLD NEW BRUNSWICK ROAD",
            "address_2": "SUITE 100",
            "city": "PISCATAWNY",
            "state": "NJ",
            "postal_code": "08854",
            "telephone_number": "732-463-1212",
            "fax_number": "732-566-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOLOM",
        "first_name": "SARI",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00185000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.