Individual provider Active NPI

Stacy Horne, LCSW

  • Clinical Social Worker
  • Hazlet, NJ
National Provider Identifier
1306861695
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05334800 Issued in NJ
Practice address
1 Bethany Rd Ste 69
Hazlet, NJ 07730-1668
Phone
(732) 836-8988
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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
Clinical Social Worker 1041C0700X 44SC05334800 NJ Primary

Addresses

Primary practice location

1 Bethany Rd Ste 69
Hazlet, NJ 07730-1668

Mailing address

PO Box 119
Allenwood, NJ 08720-0119

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL stacyhornelcsw.com

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
44SC05334800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stacy Horne LCSW LLC Clinical CurrentSince Oct 2, 2022 Accepting new patients
Comprehensive Psychology System PC PastSince Mar 1, 2023 Accepting new patients
Shore Psychology Associates, LLC PastSince Mar 13, 2010 Accepting new patients
NJ Behavioral Health Services PC Clinical PastSince Feb 2, 2020 Accepting new patients

Locations

1 Bethany Rd
Ste 69
Hazlet, NJ 07730
Phone (732) 344-0736

Organizations & group practices 4

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1306861695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 119",
            "city": "ALLENWOOD",
            "state": "NJ",
            "postal_code": "087200119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD STE 69",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301668",
            "telephone_number": "732-836-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNE",
        "first_name": "STACY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05334800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "stacyhornelcsw.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "1 Bethany Rd Ste 69",
            "city": "Hazlet",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077301668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.