Active NPI
Paul Frederick Brenner, DSW
- Clinical Social Worker
- Tinton Falls, NJ
National Provider Identifier
1578552162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC00021600
- Practice address
- 929 Sycamore Ave
Tinton Falls, NJ 07724-3131 - Phone
- (732) 389-2484
- Fax
- (732) 389-2014
- NPI assigned
- Oct 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC00021600 | NJ | Primary |
Addresses
Primary practice location
929 Sycamore Ave
Tinton Falls, NJ 07724-3131
Mailing address
929 Sycamore Ave
Tinton Falls, NJ 07724-3131
Phone (732) 389-2484
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC00021600 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1578552162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 SYCAMORE AVE",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077243131",
"telephone_number": "732-389-2484",
"fax_number": "732-389-2014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 SYCAMORE AVE",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077243131",
"telephone_number": "732-389-2484",
"fax_number": "732-389-2014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNER",
"first_name": "PAUL",
"middle_name": "FREDERICK",
"name_prefix": "Dr.",
"credential": "DSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC00021600",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.