Stephanie Leifer, LCSW

Individual provider Active NPI Clinical Social Worker · Voorhees, NJ

NPI 1649986142 · NPPES record last updated Jan 27, 2023

Key facts

NPI
1649986142
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
2301 E Evesham Rd Ste 109
Voorhees, NJ 08043-4502
Phone
(856) 433-8615
NPI assigned
Jan 27, 2023
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Brighter Tomorrow Wellness Center (2 clinicians)

Practice addresses (Care Compare)

1236 Brace Rd
Suite Ki
Cherry Hill, NJ 08034-3229
Phone (856) 433-8615

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240215004504 NJ Practitioner - Clinical Psychologist 1355785411 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
A Brighter Tomorrow Wellness Center Current
since Jan 1, 2024
Accepting new patients

Locations

1236 Brace Rd
Ste Ki
Cherry Hill, NJ 08034
Phone (856) 433-8615

2301 E Evesham Rd
Ste 109
Voorhees, NJ 08043
Phone (856) 433-8615

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

2301 E Evesham Rd Ste 109
Voorhees, NJ 08043-4502

Mailing address

2301 E Evesham Rd Ste 109
Voorhees, NJ 08043-4502
Phone (856) 433-8615

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 27, 2023.

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1649986142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 109",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434502",
            "telephone_number": "856-433-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 109",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434502",
            "telephone_number": "856-433-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIFER",
        "first_name": "STEPHANIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

All providers in Voorhees, NJ · Clinical Social Worker in New Jersey

Sources for this page

Verify at the official NPI Registry.