Eulices Montiel-Fernandez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05213600 Issued in NJ

Practice address

320 Amboy Ave
Suite C
Metuchen, NJ 08840-2469

Phone

(732) 887-0037

Fax

(732) 321-1975

NPI assigned

Aug 17, 2006

Sex

Male

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

Practice roles

Locations

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.

• County of Middlesex

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Perth Amboy, NJ
  • NPI 1437245800
  Medicare reassignment NPD
• County of Middlesex

  • Public Health or Welfare Agency
  • East Brunswick, NJ
  • NPI 1023148178
  NPD
• Coastal Detox, Inc

  • Substance Abuse Rehabilitation Facility
  • Stuart, FL
  • NPI 1598130098
  NPD (past)
• Origins Behavioral Healthcare of Florida, LLC

  • Substance Abuse Rehabilitation Facility
  • West Palm Beach, FL
  • NPI 1487050068
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346354594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 AMBOY AVE",
            "address_2": "SUITE C",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402469",
            "telephone_number": "732-887-0037",
            "fax_number": "732-321-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 AMBOY AVE",
            "address_2": "SUITE C",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402469",
            "telephone_number": "732-887-0037",
            "fax_number": "732-321-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTIEL-FERNANDEZ",
        "first_name": "EULICES",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05213600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Molk
• Eugenia A. Monroy-Advis, LCSW
• Gabriella Montalban
• Barry J. Montalto, TD-3197
• Matthew A Monteverde, BCBA
• Lorraine Morgan
• Yuseef Morton
• Patricia W. Moseley, M.A.
• Sandra W. Moss, M.D.
• Sharon Muenster

• Clinical Social Worker in Metuchen, NJ
• Providers in Metuchen, 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 Jul 8, 2007; 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.