Individual provider Active NPI

Susan P Talty, MSW, LCSW

  • Clinical Social Worker
  • Toms River, NJ
National Provider Identifier
1467892083
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00845700 Issued in NJ
Practice address
191 Highway 37 W
Suite 2
Toms River, NJ 08755-8061
Phone
(732) 264-8878
Fax
(732) 566-7727
NPI assigned
Jun 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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 44SC00845700 NJ Primary

Addresses

Primary practice location

191 Highway 37 W
Suite 2
Toms River, NJ 08755-8061

Mailing address

746 Highway 34
Suite 3
Matawan, NJ 07747-6685
Phone (732) 264-8878

Other names 1

  • Susan P Talty Professional name

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
I20050510000476 NJ Practitioner - Clinical Social Worker 4587604418 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychology & Counseling Associates, LLC CurrentSince Jun 1, 2019 Accepting new patients
Haven Behavioral Health, LLC Clinical CurrentSince Jun 24, 2020 Accepting new patients
Mindy Staum, LCSW, P.a Clinical Past Accepting new patients
Center for Marriage & Family Therapy, P.C. Clinical PastSince Jan 18, 2016 Accepting new patients

Locations

1683 Route 88 W
Ste A
Brick, NJ 08724
Phone (732) 840-5266

801 Lacey Rd
Forked River, NJ 08731
Phone (609) 242-0040

500 US Highway 9
Lanoka Harbor, NJ 08734
Phone (609) 693-8131

Organizations & group practices 5

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": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1467892083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 HIGHWAY 34",
            "address_2": "SUITE 3",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077476685",
            "telephone_number": "732-264-8878",
            "fax_number": "732-566-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 HIGHWAY 37 W",
            "address_2": "SUITE 2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558061",
            "telephone_number": "732-264-8878",
            "fax_number": "732-566-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALTY",
        "first_name": "SUSAN",
        "middle_name": "P",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00845700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "TALTY",
            "middle_name": "P",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.