Individual provider Active NPI

Sue Crane, LCSW

  • Mental Health Counselor
  • Long Beach Township, NJ
National Provider Identifier
1740222116
Registry record updated Oct 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SC05294300 Issued in NJ
Practice address
4700 Long Beach Blvd
Long Beach Township, NJ 08008-3926
Phone
(609) 494-1554
Fax
(609) 361-9653
NPI assigned
Jun 12, 2006
Last updated
Oct 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 44SC05294300 NJ Primary

Addresses

Primary practice location

4700 Long Beach Blvd
Long Beach Township, NJ 08008-3926

Mailing address

4700 Long Beach Blvd
Long Beach Township, NJ 08008-3926
Phone (609) 494-1554

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05294300NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Long Beach Island Community Center, Inc. Mental Health Past Accepting new patients
Long Beach Island Community Center 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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191801600000",
    "number": "1740222116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 LONG BEACH BLVD",
            "city": "LONG BEACH TOWNSHIP",
            "state": "NJ",
            "postal_code": "080083926",
            "telephone_number": "609-494-1554",
            "fax_number": "609-361-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 LONG BEACH BLVD",
            "city": "LONG BEACH TOWNSHIP",
            "state": "NJ",
            "postal_code": "080083926",
            "telephone_number": "609-494-1554",
            "fax_number": "609-361-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANE",
        "first_name": "SUE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC05294300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; 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.