Active NPI
Courtney Iantosca, LCSW
- Social Worker
- Glassboro, NJ
National Provider Identifier
1659047439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SC05934800
- Practice address
- 42 Delsea Dr S
Glassboro, NJ 08028-2621 - Phone
- (844) 422-3632
- NPI assigned
- Aug 20, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SC05934800 | NJ | Primary |
Addresses
Primary practice location
42 Delsea Dr S
Glassboro, NJ 08028-2621
Mailing address
3 Nassau Ave
West Deptford, NJ 08096-3925
Phone (856) 803-4560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 17, 2026 through Apr 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05934800 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1659047439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 NASSAU AVE",
"city": "WEST DEPTFORD",
"state": "NJ",
"postal_code": "080963925",
"telephone_number": "856-803-4560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 DELSEA DR S",
"city": "GLASSBORO",
"state": "NJ",
"postal_code": "080282621",
"telephone_number": "844-422-3632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IANTOSCA",
"first_name": "COURTNEY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-20",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SC05934800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glassboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.