Individual provider Active NPI

Sara M. Fleischer-Todd, L.C.S.W

  • Clinical Social Worker
  • East Brunswick, NJ
National Provider Identifier
1265589931
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
NJ44SC00266300 Issued in NJ
Practice address
G9 Brier Hill CT
East Brunswick, NJ 08816-3338
Phone
(732) 698-0380
Fax
(732) 698-1349
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NJ44SC00266300 NJ Primary
Clinical Social Worker 1041C0700X NYR029977-1 NY

Addresses

Primary practice location

G9 Brier Hill CT
East Brunswick, NJ 08816-3338

Mailing address

2205 Cypress LN
East Brunswick, NJ 08816-5273
Phone (732) 698-0380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NJ44SC00266300NJMDClinical Social Worker
NYR029977-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265589931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 CYPRESS LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165273",
            "telephone_number": "732-698-0380",
            "fax_number": "732-698-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G9 BRIER HILL CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163338",
            "telephone_number": "732-698-0380",
            "fax_number": "732-698-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEISCHER-TODD",
        "first_name": "SARA",
        "middle_name": "M.",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "NJ44SC00266300",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "NYR029977-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.