Christina Soubasis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05262100 Issued in NJ

Practice address

81 Nautilus Dr
Manahawkin, NJ 08050-2448

Phone

(609) 597-5327

Fax

(609) 597-6684

NPI assigned

Jul 5, 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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ocean Mental Health Services IncGroup PAC ID 7416943709, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ocean Mental Health Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bayville, NJ
  • NPI 1508884347
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215968458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ATLANTIC CITY BLVD",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087211229",
            "telephone_number": "732-349-1977",
            "fax_number": "732-349-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 NAUTILUS DR",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502448",
            "telephone_number": "609-597-5327",
            "fax_number": "609-597-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUBASIS",
        "first_name": "CHRISTINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05262100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robbin Lee Sneddon, RN
• Inessa Soden III, OTR, CHT
• Frank A Soller, LDO
• Poonam Soni, M.D.
• Shikhar Soni, M.D.
• Southern Ocean Chiropractic
• Southern Ocean Co Radiation Oncology
• Southern Ocean County Dialysis Clinic, LLC
• Southern Ocean County Hospital
• Southern Ocean County Hospital

• Clinical Social Worker in Manahawkin, NJ
• Providers in Manahawkin, 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 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.