Individual provider Active NPI

Brian Keith Stemetzki I, LCSW

  • Clinical Social Worker
  • Turnersville, NJ
National Provider Identifier
1730486705
Registry record updated Jul 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05429000 Issued in NJ
Practice address
901 Route 168
Suite 103
Turnersville, NJ 08012-3210
Phone
(856) 266-4983
NPI assigned
Feb 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2012

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 44SC05429000 NJ Primary

Addresses

Primary practice location

901 Route 168
Suite 103
Turnersville, NJ 08012-3210

Mailing address

PO Box 30
Grenloch, NJ 08032-0030
Phone (856) 266-4983

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
I20150814013514 NJ Practitioner - Clinical Social Worker 5698080943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
A Better Tomorrow Counseling ServicesGroup PAC ID 6709191059, 18 clinicians

Practice addresses (Care Compare)

901 Route 168 103
Turnersville, NJ 08012-3200
Phone (856) 266-4983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05429000NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A Better Tomorrow Counseling Services CurrentSince Jul 23, 2015 Accepting new patients

Locations

901 Route 168
Ste 103
Turnersville, NJ 08012
Phone (856) 266-4983

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": "1298764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342224000000",
    "number": "1730486705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30",
            "city": "GRENLOCH",
            "state": "NJ",
            "postal_code": "080320030",
            "telephone_number": "856-266-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ROUTE 168",
            "address_2": "SUITE 103",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080123210",
            "telephone_number": "856-266-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEMETZKI",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-27",
        "last_updated": "2012-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05429000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turnersville, NJ

Sources for this page

Verify at the official NPI Registry.