Individual provider Active NPI

Tusharbala Sethy

  • Clinical Social Worker
  • Paramus, NJ
National Provider Identifier
1578258679
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06307700 Issued in NJ
Practice address
11-13 Sunflower Ave
Suite 1020
Paramus, NJ 07652
Phone
(973) 529-8913
NPI assigned
Apr 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06084400 NJ
Clinical Social Worker 1041C0700X 44SC06307700 NJ Primary

Addresses

Primary practice location

11-13 Sunflower Ave
Suite 1020
Paramus, NJ 07652

Mailing address

PO Box 748465
Atlanta, GA 30374-8465
Phone (855) 284-7483

Other practice location 1

2083 Klockner Rd
Hamilton, NJ 08690-3415
Phone (609) 222-4902

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
I20240807000449 NJ Practitioner - Clinical Social Worker 6901343060 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mind Your MindGroup PAC ID 6002242690, 22 clinicians
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

2083 Klockner Rd
Hamilton, NJ 08690-3415
Phone (609) 222-4922

7 Lincoln Hwy
Suite 224
Edison, NJ 08820-3965
Phone (732) 479-4763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06084400NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Nov 6, 2024 Accepting new patients
Mind Your Mind CurrentSince Jul 25, 2024 Accepting new patients
Lifebulb LLC PastSince Oct 16, 2022 Accepting new patients

Locations

7 Lincoln Hwy
Ste 224
Edison, NJ 08820
Phone (732) 479-4763

11-13 Sunflower Ave
Ste 1020
Paramus, NJ 07652
Phone (201) 820-0057

505 Main St
Toms River, NJ 08753
Phone (732) 272-0127

2083 Klockner Rd
Trenton, NJ 08690
Phone (609) 222-4902

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 3

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": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1578258679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748465",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748465",
            "telephone_number": "855-284-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11-13 SUNFLOWER AVE",
            "address_2": "SUITE 1020",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "07652",
            "telephone_number": "973-529-8913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2083 Klockner Rd",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086903415",
            "country_code": "US",
            "telephone_number": "609-222-4902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SETHY",
        "first_name": "TUSHARBALA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06084400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06307700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.