Active NPI
Eileen Gutstein, MSW,LCSW,LMFT
- Clinical Social Worker
- Manalapan, NJ
National Provider Identifier
1437249745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC00155800
- Practice address
- 69 Maxwell LN
Manalapan, NJ 07726-2935 - Phone
- (732) 780-7391
- Fax
- (732) 294-4795
- NPI assigned
- Oct 15, 2006
- 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 | 44SC00155800 | NJ | Primary |
Addresses
Primary practice location
69 Maxwell LN
Manalapan, NJ 07726-2935
Mailing address
69 Maxwell LN
Manalapan, NJ 07726-2935
Phone (732) 780-7391
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P1132311 | Other | OXFORD INSURANCE NUMBER | |
| 015185 | Other | VALUE OPTIONS INSURANCE | |
| 0034991 | Other | GHI HEALTH INSURANCE NUMB |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050505000085 | NJ | Practitioner - Clinical Social Worker | 2062452469 | Practice locations: Manalapan, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
69 Maxwell LN
Manalapan, NJ 07726-2935
Phone (732) 780-7391
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437249745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 MAXWELL LN",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077262935",
"telephone_number": "732-780-7391",
"fax_number": "732-294-4795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 MAXWELL LN",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077262935",
"telephone_number": "732-780-7391",
"fax_number": "732-294-4795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTSTEIN",
"first_name": "EILEEN",
"name_prefix": "Mrs.",
"credential": "MSW,LCSW,LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC00155800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD INSURANCE NUMBER",
"identifier": "P1132311",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS INSURANCE",
"identifier": "015185",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HEALTH INSURANCE NUMB",
"identifier": "0034991",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manalapan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.