Organization Active NPI

Dina P Brue, LCSW, LLC

  • Clinical Social Worker
  • Scotch Plains, NJ
National Provider Identifier
1396195533
Registry record updated Jun 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05515700 Issued in NJ
Legal business name
DINA P BRUE, LCSW, LLC
Practice address
551 Park Ave
Suite 3a
Scotch Plains, NJ 07076-1767
Phone
(646) 643-5345
NPI assigned
Jun 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2016

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

Authorized official

Name
Mrs. Dina P Brue, LCSW
Title
Owner
Phone
(646) 643-5345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 44SC05515700 NJ Primary

Addresses

Primary practice location

551 Park Ave
Suite 3a
Scotch Plains, NJ 07076-1767

Mailing address

551 Park Ave
Suite 3a
Scotch Plains, NJ 07076-1767
Phone (646) 643-5345

National Provider Directory

National Provider Directory

Locations

551 Park Ave
Ste 3A
Scotch Plains, NJ 07076
Phone (646) 643-5345

NPI Registry JSON

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

{
    "created_epoch": "1466294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466294400000",
    "number": "1396195533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 PARK AVE",
            "address_2": "SUITE 3A",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761767",
            "telephone_number": "646-643-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 PARK AVE",
            "address_2": "SUITE 3A",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761767",
            "telephone_number": "646-643-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DINA P BRUE, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-19",
        "last_updated": "2016-06-19",
        "status": "A",
        "authorized_official_last_name": "BRUE",
        "authorized_official_first_name": "DINA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-643-5345",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05515700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotch Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.