Individual provider Active NPI

Eileen Gutstein, MSW,LCSW,LMFT

  • Clinical Social Worker
  • Manalapan, NJ
National Provider Identifier
1437249745
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00155800 Issued in NJ
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P1132311OtherOXFORD INSURANCE NUMBER
015185OtherVALUE OPTIONS INSURANCE
0034991OtherGHI 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Verify at the official NPI Registry.