Organization Active NPI

Shoshana Stockelberg, LCSW

  • Social Worker
  • Morganville, NJ
National Provider Identifier
1750764908
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SC05276600 Issued in NJ
Legal business name
SHOSHANA STOCKELBERG, LCSW
Practice address
50 Highway 9 S
Suite 101
Morganville, NJ 07751-1574
Phone
(732) 547-5082
Fax
(732) 431-4892
NPI assigned
Jul 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Mrs. Shoshana Stockelberg, LCSWNPI 1396828026
Title
Owner
Phone
(732) 547-5082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 44SC05276600 NJ Primary

Addresses

Primary practice location

50 Highway 9 S
Suite 101
Morganville, NJ 07751-1574

Mailing address

33 Enright Ave
Freehold, NJ 07728-2029
Phone (732) 547-5082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151002001419 NJ Part B Supplier - Clinic/Group Practice 5395053805 Receives reassigned benefits from 1 practitioner
Practice locations: Manalapan, NJ; Teaneck, NJ

National Provider Directory

National Provider Directory

Locations

294 State St
Fl 2
Hackensack, NJ 07601
Phone (732) 547-5082

81 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (201) 565-2442

50 US Highway 9
Ste 101
Morganville, NJ 07751
Phone (732) 547-5082

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1750764908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ENRIGHT AVE",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282029",
            "telephone_number": "732-547-5082",
            "fax_number": "732-431-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HIGHWAY 9 S",
            "address_2": "SUITE 101",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511574",
            "telephone_number": "732-547-5082",
            "fax_number": "732-431-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOSHANA STOCKELBERG, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "STOCKELBERG",
        "authorized_official_first_name": "SHOSHANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-547-5082",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC05276600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.