Active NPI
Julie Fumosa, LSW
- Clinical Social Worker
- Forked River, NJ
National Provider Identifier
1336683218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SL06026900
- Practice address
- 1775 Longwood Dr
Forked River, NJ 08731-3919 - Phone
- (609) 978-8921
- NPI assigned
- Dec 12, 2016
- Last updated
- Dec 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SL06026900 | NJ | Primary |
Addresses
Primary practice location
1775 Longwood Dr
Forked River, NJ 08731-3919
Mailing address
1775 Longwood Dr
Forked River, NJ 08731-3919
Phone (609) 978-8921
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06026900 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1336683218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 LONGWOOD DR",
"city": "FORKED RIVER",
"state": "NJ",
"postal_code": "087313919",
"telephone_number": "609-978-8921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 LONGWOOD DR",
"city": "FORKED RIVER",
"state": "NJ",
"postal_code": "087313919",
"telephone_number": "609-978-8921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUMOSA",
"first_name": "JULIE",
"name_prefix": "Ms.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-12",
"last_updated": "2016-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SL06026900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forked River, NJ
- Forked River Pharmacy
- Forked River RX, LLC (medicine to go pharmacies)
- Forked River RX, LLC (medicine to go pharmacies)
- Forked River RX, LLC (Medicine to Go Pharmacies)
- Frank J. Poplawski,D.M.D.,PA
- Jacqueline Gabbard, OTR/L
- Patricia A. Gaffga-Madresh, ED.S, LMFT
- Joseph Peter Galante, APRN
- Ashley E Gelenites
- Lauren Gembry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.