Supportive Care Services Limited Liability Company

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SUPPORTIVE CARE SERVICES LIMITED LIABILITY COMPANY

Practice address

9 Daniel LN
Lebanon, NJ 08833-4351

Phone

(908) 399-4622

Fax

(908) 236-0099

NPI assigned

Apr 29, 2013

Organization subpart

No

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

Authorized official

Name

Sarah Masucci, LCSWNPI 1588068001

Title

Principal

Phone

(908) 399-4622

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Masucci

  • Clinical Social Worker
  • New Providence, NJ
  • NPI 1588068001
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1376987735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DANIEL LN",
            "city": "LEBANON",
            "state": "NJ",
            "postal_code": "088334351",
            "telephone_number": "908-399-4622",
            "fax_number": "908-236-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 DANIEL LN",
            "city": "LEBANON",
            "state": "NJ",
            "postal_code": "088334351",
            "telephone_number": "908-399-4622",
            "fax_number": "908-236-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE CARE SERVICES LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "MASUCCI",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "908-399-4622",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251B00000X",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Currall Simms, DMD
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• Silvana Spertus, D.O
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• Jeffrey Bruce Thorne, DDS

• Clinical Social Worker in Lebanon, NJ
• Providers in Lebanon, 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 Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.