Cesar Anatoly Coronado, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SC06364400 Issued in NJ

Practice address

101 Mountain CT Ste 101B
Hackettstown, NJ 07840-2300

Phone

(212) 688-5116

Fax

(844) 236-1502

NPI assigned

Feb 13, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Cesar Anatoly Coronado Professional name

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": "1613174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1366035008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RELER LN APT F",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733821",
            "telephone_number": "631-813-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MOUNTAIN CT STE 101B",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402300",
            "telephone_number": "212-688-5116",
            "fax_number": "844-236-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONADO",
        "first_name": "CESAR",
        "middle_name": "ANATOLY",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-13",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC06364400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CESAR",
            "last_name": "CORONADO",
            "middle_name": "ANATOLY",
            "prefix": "MR.",
            "credential": "LSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Social Worker in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.