Individual provider Active NPI

Erica Mae Stern, LCSW

  • Clinical Social Worker
  • Eatontown, NJ
National Provider Identifier
1710645049
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05953100 Issued in NJ
Practice address
615 Hope Rd BLDG 5B2
Eatontown, NJ 07724-1277
Phone
(732) 389-0697
NPI assigned
Dec 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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 44SC05953100 NJ Primary

Addresses

Primary practice location

615 Hope Rd BLDG 5B2
Eatontown, NJ 07724-1277

Mailing address

615 Hope Rd BLDG 5B2
Eatontown, NJ 07724-1277
Phone (732) 389-0697

Other practice location 1

19 N County Line Rd
Jackson, NJ 08527-1466
Phone (732) 389-0697 ext. 814

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
I20251107003113 NJ Practitioner - Clinical Social Worker 0143710079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Care Concepts and Consultation, LLCGroup PAC ID 6709303357, 12 clinicians

Practice addresses (Care Compare)

615 Hope Rd
Suite 5B
Eatontown, NJ 07724-1273
Phone (732) 389-0697

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05953100NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Care Concepts & Consultation, LLC Clinical CurrentSince Aug 28, 2025 Accepting new patients

Locations

615 Hope Rd
Tinton Falls, NJ 07724
Phone (732) 389-0697

615 Hope Rd
Ste 5B
Tinton Falls, NJ 07724
Phone (732) 389-0697

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1710645049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 HOPE RD BLDG 5B2",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241277",
            "telephone_number": "732-389-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 HOPE RD BLDG 5B2",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241277",
            "telephone_number": "732-389-0697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 N County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "NJ",
            "postal_code": "085271466",
            "country_code": "US",
            "telephone_number": "732-389-0697 x814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STERN",
        "first_name": "ERICA",
        "middle_name": "MAE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05953100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.