Individual provider Active NPI

Lauren Lee Lasanta-Tuazon, MSW, LCSW

  • Clinical Social Worker
  • East Brunswick, NJ
National Provider Identifier
1609160365
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05444600 Issued in NJ
Practice address
330 Milltown Rd Ste E22
East Brunswick, NJ 08816-2287
Phone
(848) 252-8625
Fax
(848) 260-0772
NPI assigned
May 30, 2011
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05444600 NJ Primary

Addresses

Primary practice location

330 Milltown Rd Ste E22
East Brunswick, NJ 08816-2287

Mailing address

330 Milltown Rd Ste E22
East Brunswick, NJ 08816-2287
Phone (848) 252-8625

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL other Other

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
I20230123002386 NJ Practitioner - Clinical Social Worker 3870964281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family and Youth ServicesGroup PAC ID 9234500646, 2 clinicians

Practice addresses (Care Compare)

330 Milltown Rd
Suite E22
East Brunswick, NJ 08816-2287
Phone (734) 502-5860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05444600NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family and Youth Services CurrentSince Nov 30, 2022 Accepting new patients
Innovative Mental Health Therapies CurrentSince Nov 20, 2022 Accepting new patients

Locations

330 Milltown Rd
Ste E22
East Brunswick, NJ 08816
Phone (734) 502-5860

402 Main St
Ste 214
Metuchen, NJ 08840
Phone (848) 252-8625

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": "1306713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1609160365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MILLTOWN RD STE E22",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162287",
            "telephone_number": "848-252-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MILLTOWN RD STE E22",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162287",
            "telephone_number": "848-252-8625",
            "fax_number": "848-260-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASANTA-TUAZON",
        "first_name": "LAUREN",
        "middle_name": "LEE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-30",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05444600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "other",
            "affiliation": "N",
            "endpointDescription": "other",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "330 Milltown Rd Ste E22",
            "city": "East Brunswick",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088162287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.