NPIMap

Organization Active NPI

Sage Wellness Center LLC

  • Clinical Social Worker
  • Toms River, NJ
National Provider Identifier
1669837811
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SCO5518900 Issued in NJ
Legal business name
SAGE WELLNESS CENTER LLC
Practice address
1901 Lakewood Rd Ste 200
Toms River, NJ 08755-1211
Phone
(732) 505-4612
Fax
(732) 505-4671
NPI assigned
Dec 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Ms. Kimberly McElwee, LCSWNPI 1992057632
Title
LCSW
Phone
(732) 505-4612

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 44SCO5518900 NJ Primary

Addresses

Primary practice location

1901 Lakewood Rd Ste 200
Toms River, NJ 08755-1211

Mailing address

1901 Lakewood Rd Ste 200
Toms River, NJ 08755-1211
Phone (732) 505-4612

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160414000614 NJ Part B Supplier - Clinic/Group Practice 8729386370 Receives reassigned benefits from 6 practitioners
Practice locations: Toms River, NJ

National Provider Directory

National Provider Directory

Locations

2670 Yorktowne Blvd
Unit 32
Brick, NJ 08723
Phone (732) 262-7747

1901 Lakewood Rd
Ste 200
Toms River, NJ 08755
Phone (732) 262-7747

Practitioners & affiliated clinicians

Practitioners 8

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": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1669837811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 LAKEWOOD RD STE 200",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551211",
            "telephone_number": "732-505-4612",
            "fax_number": "732-505-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 LAKEWOOD RD STE 200",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551211",
            "telephone_number": "732-505-4612",
            "fax_number": "732-505-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "MCELWEE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "732-505-4612",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SCO5518900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.