Stephanie Rae Simon, LCSW, NCPSYA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04307700 Issued in NJ

Practice address

506 3Rd St
Hoboken, NJ 07030-1970

Phone

(908) 403-6516

NPI assigned

Nov 11, 2006

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Bridgeway Behavioral Health Services

  • Community/Behavioral Health Agency
  • Elizabeth, NJ
  • NPI 1639294879
  Medicare reassignment

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1336210442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10307 CRYSTAL RIDGE DR",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696499",
            "telephone_number": "908-403-6516",
            "fax_number": "908-248-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 3RD ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070301970",
            "telephone_number": "908-403-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "STEPHANIE",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "LCSW, NCPSYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-11",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04307700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Siegel
• Vikram Singh Sikand, M.D.
• Julianne Silva
• Meredith B Silverstein, PA
• Patrick Simon, PHARMD
• Simply Centered Pelvic Health LLC
• Singh Consulting LLC
• Jason Singh, DPM
• Susan Sisbarro, MD
• Kishan Arvind Sitapara, M.D.

• Clinical Social Worker in Hoboken, NJ
• Providers in Hoboken, 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 Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.