Individual provider Active NPI

Barbara Russo, LCSW

  • Clinical Social Worker
  • Old Bridge, NJ
National Provider Identifier
1730236712
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04768400 Issued in NJ
Practice address
3895 County Road 516 Ste 2B
Old Bridge, NJ 08857-2499
Phone
(732) 679-4500
Fax
(732) 679-4549
NPI assigned
Jan 4, 2007
Last updated
May 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 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 44SC04768400 NJ Primary

Addresses

Primary practice location

3895 County Road 516 Ste 2B
Old Bridge, NJ 08857-2499

Mailing address

3895 County Road 516 Ste 2B
Old Bridge, NJ 08857-2499
Phone (732) 679-4500

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
I20050425000558 NJ Practitioner - Clinical Social Worker 4789622234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stress Care of New Jersey, LLCGroup PAC ID 5294864575, 48 clinicians

Practice addresses (Care Compare)

4122 Hwy 516
Matawan, NJ 07747-7031
Phone (732) 679-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC04768400NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stress Care of New Jersey, LLC CurrentSince Mar 27, 2010 Accepting new patients
Stress Care of New Jersey, LLC CurrentSince Mar 27, 2010 Accepting new patients
Stress Care of Central Jersey, PC Clinical Past Accepting new patients

Locations

4122 Route 516
Matawan, NJ 07747
Phone (732) 679-4500

3895 Highway 516
#2B
Old Bridge, NJ 08857
Phone (732) 679-4500

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1730236712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3895 COUNTY ROAD 516 STE 2B",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572499",
            "telephone_number": "732-679-4500",
            "fax_number": "732-679-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3895 COUNTY ROAD 516 STE 2B",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572499",
            "telephone_number": "732-679-4500",
            "fax_number": "732-679-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "BARBARA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04768400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.