Individual provider Active NPI

Marc Brousseau, LSW

  • Social Worker
  • Toms River, NJ
National Provider Identifier
1295528503
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06968400 Issued in NJ
Practice address
334 Commons Way
Toms River, NJ 08755-6428
Phone
(732) 930-2242
Fax
(732) 569-6819
NPI assigned
May 28, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06968400 NJ Primary

Addresses

Primary practice location

334 Commons Way
Toms River, NJ 08755-6428

Mailing address

334 Commons Way
Toms River, NJ 08755-6428
Phone (732) 930-2242

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SL06968400NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Neuropsychology Associates CurrentSince Jun 3, 2025 Accepting new patients

Locations

334 Commons Way
Toms River, NJ 08755
Phone (732) 930-2242

Organizations & group practices 1

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": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1295528503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 COMMONS WAY",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556428",
            "telephone_number": "732-930-2242",
            "fax_number": "732-569-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 COMMONS WAY",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556428",
            "telephone_number": "732-930-2242",
            "fax_number": "732-569-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSEAU",
        "first_name": "MARC",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06968400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.