Individual provider Active NPI

Susan M. Cattermole, LCSW

  • Clinical Social Worker
  • Shrewsbury, NJ
National Provider Identifier
1275610537
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05195000 Issued in NJ
Practice address
621 Shrewsbury Ave
Suite 115
Shrewsbury, NJ 07702-4153
Phone
(732) 546-2339
NPI assigned
Nov 1, 2006
Last updated
Feb 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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 44SC05195000 NJ Primary

Addresses

Primary practice location

621 Shrewsbury Ave
Suite 115
Shrewsbury, NJ 07702-4153

Mailing address

2105 Appleby Dr
Ocean, NJ 07712-4633
Phone (732) 546-2339

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
I20050425000276 NJ Practitioner - Clinical Social Worker 5991743411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2116 Sunset Ave
Suite D
Ocean, NJ 07712-4672
Phone (732) 546-2339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05195000NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Care LLC Dba Elder Life Home Care LLC Past Accepting new patients

Organizations & group practices 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1275610537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 APPLEBY DR",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124633",
            "telephone_number": "732-546-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 SHREWSBURY AVE",
            "address_2": "SUITE 115",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024153",
            "telephone_number": "732-546-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATTERMOLE",
        "first_name": "SUSAN",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05195000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.