Individual provider Active NPI

Sara J. Eisenhuth, OTR, LCSW

  • Social Worker
  • Marlton, NJ
National Provider Identifier
1689874844
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06854300 Issued in NJ
Practice address
50 S Maple Ave
Marlton, NJ 08053-2002
Phone
(856) 985-9091
NPI assigned
Jul 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 46TR00361900 NJ
Social Worker 104100000X 44SL06854300 NJ Primary

Addresses

Primary practice location

50 S Maple Ave
Marlton, NJ 08053-2002

Mailing address

50 S Maple Ave
Marlton, NJ 08053-2002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 22, 2025 through Aug 22, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SL06854300NJMDSocial Worker
46TR00361900NJMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1689874844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S MAPLE AVE",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S MAPLE AVE",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532002",
            "telephone_number": "856-985-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENHUTH",
        "first_name": "SARA",
        "middle_name": "J.",
        "credential": "OTR, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00361900",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06854300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.