Individual provider Active NPI

Lori Schreuders-Meyer, LCSW

  • Clinical Social Worker
  • Orange, NJ
National Provider Identifier
1306124441
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SCO4807600 Issued in NJ
Practice address
395 S Center St
Orange, NJ 07050-3205
Phone
(973) 675-3817
Fax
(973) 673-5782
NPI assigned
Jul 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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 44SCO4807600 NJ Primary

Addresses

Primary practice location

395 S Center St
Orange, NJ 07050-3205

Mailing address

395 S Center St
Orange, NJ 07050-3205
Phone (973) 675-3817

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
44SCO4807600NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1306124441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 S CENTER ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070503205",
            "telephone_number": "973-675-3817",
            "fax_number": "973-673-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 S CENTER ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070503205",
            "telephone_number": "973-675-3817",
            "fax_number": "973-673-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREUDERS-MEYER",
        "first_name": "LORI",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-22",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SCO4807600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.