Individual provider Active NPI

Thomas W Chemris, LCSW, LCADC

  • Clinical Social Worker
  • Brick, NJ
National Provider Identifier
1710944798
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05184500 Issued in NJ
Practice address
1613 Route 88 W
Brick, NJ 08724-3000
Phone
(732) 938-3080
Fax
(732) 938-3085
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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 44SC05184500 NJ Primary

Addresses

Primary practice location

1613 Route 88 W
Brick, NJ 08724-3000

Mailing address

29 E Shenendoah Rd
Howell, NJ 07731-9029
Phone (732) 256-4033

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
I20041029000091 NJ Practitioner - Clinical Social Worker 5799747333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2211 Route 88 E
Brick, NJ 08724-3271
Phone (732) 938-3080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05184500NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Chemris, LCSW,LLC CurrentSince Mar 10, 2005 Accepting new patients
Bridges Behavioral Health Care PastSince Jan 1, 1990 Accepting new patients

Locations

2211 Route 88 E
Brick, NJ 08724
Phone (732) 785-8845

2211 Route 88 E
Ste 2
Brick, NJ 08724

Organizations & group practices 2

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1710944798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 E SHENENDOAH RD",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077319029",
            "telephone_number": "732-256-4033",
            "fax_number": "732-938-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 ROUTE 88 W",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243000",
            "telephone_number": "732-938-3080",
            "fax_number": "732-938-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEMRIS",
        "first_name": "THOMAS",
        "middle_name": "W",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05184500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.