Individual provider Active NPI

Chris Bizzarro, LCSW

  • Clinical Social Worker
  • Allentown, NJ
National Provider Identifier
1427598358
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SL06126200 Issued in NJ
Practice address
554 Province Line Rd
Allentown, NJ 08501-1306
Phone
(908) 610-7586
NPI assigned
Feb 25, 2017
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SL06126200 NJ Primary
Clinical Social Worker 1041C0700X 44SC05768700 NJ

Addresses

Primary practice location

554 Province Line Rd
Allentown, NJ 08501-1306

Mailing address

554 Province Line Rd
Allentown, NJ 08501-1306
Phone (908) 610-7586

Other practice location 1

90 W Main St Lowr Suite
Freehold, NJ 07728-2144
Phone (908) 610-7586

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05768700NJMDClinical Social Worker
44SL06126200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Youpsych LLC CurrentSince Jan 17, 2022 Accepting new patients
Youbuild LLC CurrentSince Jul 31, 2023 Accepting new patients
Total Family Solutions, LLC Past Accepting new patients

Locations

90 W Main St
Lowr
Freehold, NJ 07728
Phone (908) 610-7586

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1487980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1427598358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 PROVINCE LINE RD",
            "city": "ALLENTOWN",
            "state": "NJ",
            "postal_code": "085011306",
            "telephone_number": "908-610-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 PROVINCE LINE RD",
            "city": "ALLENTOWN",
            "state": "NJ",
            "postal_code": "085011306",
            "telephone_number": "908-610-7586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 W Main St Lowr Suite",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "077282144",
            "country_code": "US",
            "telephone_number": "908-610-7586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIZZARRO",
        "first_name": "CHRIS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-25",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06126200",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05768700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.