Individual provider Active NPI

Paula Stein, MSW LCSW ACSW BCD

  • Clinical Social Worker
  • Freehold, NJ
National Provider Identifier
1477533214
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00265800 Issued in NJ
Practice address
11 Broad Street
Freehold, NJ 07728-1703
Phone
(732) 462-7775
Fax
(732) 566-7727
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
No

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PR0254521 NY
Clinical Social Worker 1041C0700X 44SC00265800 NJ Primary

Addresses

Primary practice location

11 Broad Street
Freehold, NJ 07728-1703

Mailing address

246 Plum Drive
Marlboro, NJ 07746-1868
Phone (732) 308-0893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050420000303 NJ Practitioner - Clinical Social Worker 0042258188 Practice locations: Marlboro, NJ
I20111214000659 NY Practitioner - Clinical Social Worker 0042258188 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1705 Gerritsen Ave
Lower Level
Brooklyn, NY 11229-2610
Phone (718) 241-1070

246 Plum Dr
Marlboro, NJ 07746-1868
Phone (732) 308-0057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR0254521NYMDClinical Social Worker
025452NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477533214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 PLUM DRIVE",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461868",
            "telephone_number": "732-308-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BROAD STREET",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281703",
            "telephone_number": "732-462-7775",
            "fax_number": "732-566-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "PAULA",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW ACSW BCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR0254521",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00265800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.