Organization Active NPI

Sblcsw LLC

  • Clinical Social Worker
  • Berlin, MD
National Provider Identifier
1649673179
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05494100 Issued in NJ
Legal business name
SBLCSW LLC
Practice address
2209 Points Reach
Berlin, MD 21811-4215
Phone
(908) 955-3542
NPI assigned
Sep 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Authorized official

Name
Sharon Buck, LCSWNPI 1275965691
Title
Licensed Clinical Social Work
Phone
(908) 887-1320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC05494100 NJ Primary

Addresses

Primary practice location

2209 Points Reach
Berlin, MD 21811-4215

Mailing address

2209 Points Reach
Berlin, MD 21811-4215
Phone (908) 955-3542

Other practice location 1

409 Main St
Chester, NJ 07930-2526
Phone (908) 887-1320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220526000143 MD Part B Supplier - Clinic/Group Practice 0042531188 Receives reassigned benefits from 1 practitioner
Practice locations: Berlin, MD

National Provider Directory

National Provider Directory

Locations

409 Main St
Fl Second
Chester, NJ 07930
Phone (908) 955-3542

154 US Highway 206
Ste 6
Chester, NJ 07930
Phone (609) 217-6617

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1649673179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 POINTS REACH",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218114215",
            "telephone_number": "908-955-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 POINTS REACH",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218114215",
            "telephone_number": "908-955-3542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 Main St",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "NJ",
            "postal_code": "079302526",
            "country_code": "US",
            "telephone_number": "908-887-1320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SBLCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORK",
        "authorized_official_telephone_number": "908-887-1320",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05494100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.