Individual provider Active NPI

Bambi A Walzer, LCSW

  • Clinical Social Worker
  • Brick, NJ
National Provider Identifier
1477848216
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05343300 Issued in NJ
Practice address
12 Woodchuck LN
Brick, NJ 08724-5012
Phone
(732) 718-0824
Fax
(732) 938-3085
NPI assigned
Jun 9, 2011
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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 44SCO5343300 NJ
Clinical Social Worker 1041C0700X 44SC05343300 NJ Primary

Addresses

Primary practice location

12 Woodchuck LN
Brick, NJ 08724-5012

Mailing address

12 Woodchuck LN
Brick, NJ 08724-5012
Phone (732) 718-0824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SCO5343300NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bambi a Walzer LCSW CurrentSince Jul 28, 2024 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1477848216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WOODCHUCK LN",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087245012",
            "telephone_number": "732-718-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WOODCHUCK LN",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087245012",
            "telephone_number": "732-718-0824",
            "fax_number": "732-938-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALZER",
        "first_name": "BAMBI",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SCO5343300",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05343300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.