Dr. Fred Pastor, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC0512200 Issued in NJ

Legal business name

DR. FRED PASTOR, LCSW, LLC

Practice address

54 Main St
Suite 202
Succasunna, NJ 07876-1400

Phone

(973) 584-4050

Fax

(973) 598-9296

NPI assigned

Sep 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Fred Pastor, DSW, LCSW, LLC

Title

Owner

Phone

(973) 584-4050

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1699908004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MAIN ST",
            "address_2": "SUITE 202",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761400",
            "telephone_number": "973-584-4050",
            "fax_number": "973-598-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MAIN ST",
            "address_2": "SUITE 202",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761400",
            "telephone_number": "973-584-4050",
            "fax_number": "973-598-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. FRED PASTOR, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "PASTOR",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-584-4050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW, LCSW, LLC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC0512200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Succasunna, NJ
• Providers in Succasunna, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.