Active NPI
Eileen C. Lutz, RN,LCSW,LCADC
- Clinical Social Worker
- Warren, NJ
National Provider Identifier
1750584892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC00172900
- Practice address
- 65 Mountain Blvd Ext
Warren, NJ 07059-2632 - Phone
- (732) 356-5665
- Fax
- (732) 356-0507
- NPI assigned
- Jun 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC00172900 | NJ | Primary |
Addresses
Primary practice location
65 Mountain Blvd Ext
Warren, NJ 07059-2632
Mailing address
6 Quill Pen Way
Warren, NJ 07059-5518
Phone (908) 647-0479
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NR32823 | Other | NJ | REGISTERED NURSE |
| 44SC00172900 | Other | NJ | LIC. CLINIC. SOC. WORKER |
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
- Credentials
- Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearclear Hearing Center LLC | Past | Accepting new patients | |
| William R. Nadel, M.D., PA | Past | Accepting new patients | |
| Karen Stage Opdyke, MD, PC | Past | Accepting new patients |
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 and National Provider Directory roles.
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- Hillsborough, NJ
- NPI 1194995258
-
- Psychiatry Physician
- Whitehouse Station, NJ
- NPI 1710101134
-
- Psychiatry Physician
- Chatham, NJ
- NPI 1629013859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1750584892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 QUILL PEN WAY",
"city": "WARREN",
"state": "NJ",
"postal_code": "070595518",
"telephone_number": "908-647-0479",
"fax_number": "908-647-2592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 MOUNTAIN BLVD EXT",
"city": "WARREN",
"state": "NJ",
"postal_code": "070592632",
"telephone_number": "732-356-5665",
"fax_number": "732-356-0507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "EILEEN",
"middle_name": "C.",
"credential": "RN,LCSW,LCADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC00172900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "NR32823",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC. CLINIC. SOC. WORKER",
"identifier": "44SC00172900",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warren, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.