NPIMap

Individual provider Active NPI

Ann Basta, LCSW

  • Clinical Social Worker
  • South River, NJ
National Provider Identifier
1730654294
Registry record updated May 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06078000 Issued in NJ
Practice address
14 Redwick Way
South River, NJ 08882-2611
Phone
(848) 863-5156
NPI assigned
Oct 10, 2018
Last updated
May 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06428500 NJ
Clinical Social Worker 1041C0700X 44SC06078000 NJ Primary

Addresses

Primary practice location

14 Redwick Way
South River, NJ 08882-2611

Mailing address

14 Redwick Way
South River, NJ 08882-2611

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL anntrueselftherapy@gmail.com Direct True Self Therapy

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

LicenseStateTypeSpecialty
44SL06428500NJMDSocial Worker
44SC06078000NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
True Self Therapy Clinical CurrentSince May 22, 2022 Accepting new patients
Olive Branch Therapy Group Past Accepting new patients

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, 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": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652486400000",
    "number": "1730654294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 REDWICK WAY",
            "city": "SOUTH RIVER",
            "state": "NJ",
            "postal_code": "088822611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 REDWICK WAY",
            "city": "SOUTH RIVER",
            "state": "NJ",
            "postal_code": "088822611",
            "telephone_number": "848-863-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTA",
        "first_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2022-05-14",
        "certification_date": "2022-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06428500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06078000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "anntrueselftherapy@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "anntrueselftherapy@gmail.com",
            "affiliationName": "True Self Therapy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14 Redwick Way",
            "city": "South River",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088822611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.