Individual provider Active NPI

Joseph Chlebowski, LSW

  • Social Worker
  • Freehold, NJ
National Provider Identifier
1699216275
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06208400 Issued in NJ
Practice address
4400 Route 9 S
Suite 1000
Freehold, NJ 07728-1383
Phone
(732) 610-4122
Fax
(732) 317-4969
NPI assigned
Mar 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2015-000477 NJ
Social Worker 104100000X 44SL06208400 NJ Primary

Addresses

Primary practice location

4400 Route 9 S
Suite 1000
Freehold, NJ 07728-1383

Mailing address

4400 Route 9 S
Suite 1000
Freehold, NJ 07728
Phone (732) 610-4122

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

LicenseStateTypeSpecialty
2015-000477NJMDAddiction (Substance Use Disorder) Counselor
44SL06208400NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1699216275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 ROUTE 9 S",
            "address_2": "SUITE 1000",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-610-4122",
            "fax_number": "732-317-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 ROUTE 9 S",
            "address_2": "SUITE 1000",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281383",
            "telephone_number": "732-610-4122",
            "fax_number": "732-317-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHLEBOWSKI",
        "first_name": "JOSEPH",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "2015-000477",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06208400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.