Michael Robert Bizzarro, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00006800 Issued in NJ

Practice address

90 W Main St Lowr Suites
Freehold, NJ 07728-2144

Phone

(732) 771-7165

NPI assigned

Dec 2, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1447897152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 PEBBLE BEACH BLVD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274053",
            "telephone_number": "732-771-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 W MAIN ST LOWR SUITES",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282144",
            "telephone_number": "732-771-7165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Fairview Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Verona",
            "state": "NJ",
            "postal_code": "070441318",
            "country_code": "US",
            "telephone_number": "973-239-0066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIZZARRO",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-02",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00006800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Paul Birnkrant, M.D.
• Gina M Bisogna
• Lauren Biss, LAC
• Bires Biswas, PHARMACIST
• Fay O Bizub, NP
• Rohanna Christina Blackwood, APN
• Judith C Blair, LCSW
• Robert Roy Blank, M.D.
• Moshe A Bleich, MSW/PHD
• Laura Bligh

• Clinical Social Worker in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.