Amy K Van Bebber, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SL05941800 Issued in NJ

Practice address

159 E Main St
Rockaway, NJ 07866-3507

Phone

(973) 229-3168

NPI assigned

Nov 23, 2019

Last updated

Nov 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1574467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574467200000",
    "number": "1316583495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 KUBIN CT",
            "city": "CALIFON",
            "state": "NJ",
            "postal_code": "078304117",
            "telephone_number": "610-844-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 E MAIN ST",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663507",
            "telephone_number": "973-229-3168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 Kubin Ct",
            "address_purpose": "LOCATION",
            "city": "Califon",
            "state": "NJ",
            "postal_code": "078304117",
            "country_code": "US",
            "telephone_number": "610-844-3336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN BEBBER",
        "first_name": "AMY",
        "middle_name": "K",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-23",
        "last_updated": "2019-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL05941800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Rockaway, NJ
• Providers in Rockaway, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2019; 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.