Individual provider Active NPI

Nicolle Steakin

  • Social Worker
  • Manalapan, NJ
National Provider Identifier
1780294983
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06398400 Issued in NJ
Practice address
300 Corporate Center Dr
Manalapan, NJ 07726-8736
Phone
(732) 761-0088
NPI assigned
Aug 3, 2020
Last updated
Aug 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06398400 NJ Primary

Addresses

Primary practice location

300 Corporate Center Dr
Manalapan, NJ 07726-8736

Mailing address

14 Kimberly CT Apt 79
Red Bank, NJ 07701-5056
Phone (732) 456-4177

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Manalapan

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
I20220608001307 NJ Practitioner - Clinical Social Worker 7719365469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lindsay Meyer-Thein LLCGroup PAC ID 7810319530, 2 clinicians

Practice addresses (Care Compare)

252 Broad St
Suite 6
Red Bank, NJ 07701-2012
Phone (732) 252-7314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06398400NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsay Meyer-Thein LLC CurrentSince May 1, 2022 Accepting new patients

Locations

252 Broad St
Ste 6
Red Bank, NJ 07701
Phone (732) 252-7314

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, 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": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1780294983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 KIMBERLY CT APT 79",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015056",
            "telephone_number": "732-456-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CORPORATE CENTER DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268736",
            "telephone_number": "732-761-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEAKIN",
        "first_name": "NICOLLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06398400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Manalapan",
            "affiliation": "N",
            "address_1": "300 Corporate Center Dr",
            "city": "Manalapan",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077268736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.