Active NPI
Sophia Fishbane
- Clinical Social Worker
- Princeton JCT, NJ
National Provider Identifier
1386343663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05888100
- Practice address
- 5 Yorktown CT
Princeton JCT, NJ 08550-1511 - Phone
- (609) 529-6615
- NPI assigned
- Feb 27, 2023
- Last updated
- Feb 27, 2023
- 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 | 44SC05888100 | NJ | Primary |
Addresses
Primary practice location
5 Yorktown CT
Princeton JCT, NJ 08550-1511
Mailing address
5 Yorktown CT
Princeton JCT, NJ 08550-1511
Phone (609) 529-6615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44SC05888100 | Other | NJ | LCSW |
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 |
|---|---|---|---|
| 44SC05888100 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1386343663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 YORKTOWN CT",
"city": "PRINCETON JCT",
"state": "NJ",
"postal_code": "085501511",
"telephone_number": "609-529-6615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 YORKTOWN CT",
"city": "PRINCETON JCT",
"state": "NJ",
"postal_code": "085501511",
"telephone_number": "609-529-6615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHBANE",
"first_name": "SOPHIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-27",
"last_updated": "2023-02-27",
"certification_date": "2023-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05888100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "44SC05888100",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Princeton JCT, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.