Individual provider Active NPI

Stephanie Surget, LCSW

  • Clinical Social Worker
  • Manalapan, NJ
National Provider Identifier
1447652722
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05324400 Issued in NJ
Practice address
219 Taylors Mills Rd
Manalapan, NJ 07726-3255
Phone
(908) 415-2042
NPI assigned
Sep 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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 44SC05324400 NJ Primary

Addresses

Primary practice location

219 Taylors Mills Rd
Manalapan, NJ 07726-3255

Mailing address

219 Taylors Mills Rd
Manalapan, NJ 07726-3255
Phone (908) 415-2042

Other practice location 1

319 Maple St
Perth Amboy, NJ 08861-4101
Phone (732) 857-3877

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
I20220610000765 NJ Practitioner - Clinical Social Worker 0941688535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Exceptional Wellness Counseling, Inc.Group PAC ID 2668892449, 27 clinicians

Practice addresses (Care Compare)

219 Taylors Mills Rd
Manalapan, NJ 07726-3255
Phone (908) 415-2042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Wellness Counseling, Inc. Clinical CurrentSince Jun 2, 2022 Accepting new patients

Locations

219 Taylors Mills Rd
Manalapan, NJ 07726
Phone (732) 780-7650

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1447652722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 TAYLORS MILLS RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263255",
            "telephone_number": "908-415-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 TAYLORS MILLS RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263255",
            "telephone_number": "908-415-2042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 Maple St",
            "address_purpose": "LOCATION",
            "city": "Perth Amboy",
            "state": "NJ",
            "postal_code": "088614101",
            "country_code": "US",
            "telephone_number": "732-857-3877",
            "fax_number": "732-321-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURGET",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05324400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.