Individual provider Active NPI

Joan R Sicherman, MSW LCSW

  • Clinical Social Worker
  • Cranbury, NJ
National Provider Identifier
1689886434
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
NJSC04800 Issued in NJ
Practice address
152 N Main St
Cranbury, NJ 08512
Phone
(609) 655-4151
Fax
(609) 395-8498
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NJSC04800 NJ Primary

Addresses

Primary practice location

152 N Main St
Cranbury, NJ 08512

Mailing address

152 N Main St
Cranbury, NJ 08512
Phone (609) 655-4151

Other identifiers 1

IdentifierTypeStateIssuer
145435OtherVAVALUE OPTIONS

Other names 1

  • Joan Fane Sicherman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050427000055 NJ Practitioner - Clinical Social Worker 2769421072 Practice locations: Cranbury, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

109 S Main St
Suite 20
Cranbury, NJ 08831
Phone (609) 306-4433

94 Cobblestone Blvd
Monroe Township, NJ 08831-7929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NJSC04800NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689886434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 N MAIN ST",
            "city": "CRANBURY",
            "state": "NJ",
            "postal_code": "08512",
            "telephone_number": "609-655-4151",
            "fax_number": "609-395-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 N MAIN ST",
            "city": "CRANBURY",
            "state": "NJ",
            "postal_code": "08512",
            "telephone_number": "609-655-4151",
            "fax_number": "609-395-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICHERMAN",
        "first_name": "JOAN",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "NJSC04800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "145435",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "SICHERMAN",
            "middle_name": "FANE",
            "credential": "MSW LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cranbury, NJ

Sources for this page

Verify at the official NPI Registry.