Active NPI
Samantha Breslin, LCSW
- Clinical Social Worker
- Red Bank, NJ
National Provider Identifier
1679961098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05614300
- Practice address
- 157 Broad St Ste 312
Red Bank, NJ 07701-2013 - Phone
- (732) 705-6226
- Fax
- (732) 876-0215
- NPI assigned
- Jan 7, 2015
- Last updated
- May 23, 2024
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05614300 | NJ | Primary |
Addresses
Primary practice location
157 Broad St Ste 312
Red Bank, NJ 07701-2013
Mailing address
157 Broad St Ste 312
Red Bank, NJ 07701-2013
Phone (732) 705-6226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05614300 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Powerful Women's Health LLC | Clinical | Current | Accepting new patients |
Locations
157 Broad St
Ste 312
Red Bank, NJ 07701
Phone (732) 705-6226
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, 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": "1420588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1679961098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 BROAD ST STE 312",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077012013",
"telephone_number": "732-705-6226",
"fax_number": "732-876-0215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 BROAD ST STE 312",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077012013",
"telephone_number": "732-705-6226",
"fax_number": "732-876-0215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRESLIN",
"first_name": "SAMANTHA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-07",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05614300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Red Bank, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.