Individual provider Active NPI

Christin Saumure, LCSW, LCADC

  • Clinical Social Worker
  • Tinton Falls, NJ
National Provider Identifier
1528566320
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05757700 Issued in NJ
Practice address
11 Cornell CT
Tinton Falls, NJ 07724-9720
Phone
(732) 290-5177
NPI assigned
Jan 26, 2018
Last updated
Feb 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00274600 NJ
Clinical Social Worker 1041C0700X 44SC05757700 NJ Primary

Addresses

Primary practice location

11 Cornell CT
Tinton Falls, NJ 07724-9720

Mailing address

1021 Broad St # 1051
Shrewsbury, NJ 07702-4303
Phone (732) 290-5177

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
37LC00274600NJMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope and Healing Therapeutic Counseling Services Addiction (Substance Use Disorder) CurrentSince Mar 5, 2023 Accepting new patients

Locations

1021 Broad St
Shrewsbury, NJ 07702
Phone (201) 417-7600

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, 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": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1528566320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 BROAD ST # 1051",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024303",
            "telephone_number": "732-290-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CORNELL CT",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077249720",
            "telephone_number": "732-290-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUMURE",
        "first_name": "CHRISTIN",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-26",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00274600",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05757700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.