Active NPI
Susan Estomin, MSW, LCSW
- Clinical Social Worker
- Oakhurst, NJ
National Provider Identifier
1700900685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05300100
- Practice address
- 721 Auth Ave
Oakhurst, NJ 07755-2965 - Phone
- (732) 531-0033
- NPI assigned
- Mar 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 44SC05300100 | NJ | Primary |
Addresses
Primary practice location
721 Auth Ave
Oakhurst, NJ 07755-2965
Mailing address
721 Auth Ave
Oakhurst, NJ 07755-2965
Phone (732) 531-0033
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 |
|---|---|---|---|
| 44SC05300100 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700900685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 AUTH AVE",
"city": "OAKHURST",
"state": "NJ",
"postal_code": "077552965",
"telephone_number": "732-531-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 AUTH AVE",
"city": "OAKHURST",
"state": "NJ",
"postal_code": "077552965",
"telephone_number": "732-531-0033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTOMIN",
"first_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05300100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakhurst, NJ
- Amanda El-Khouri, DPT
- Courtney Eldridge
- Marsha Ellias-Frankel, MSW
- Enable, Inc.
- Enhance Performance Physical Therapy
- Chai Ethridge
- Family First Primary Physicians II LLC
- Family First Primary Physicians LLC (Family First Primary Physicians)
- Family Hearing Center (American Family Hearing Center)
- Elizabeth C Fanciullo, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.