Individual provider Active NPI

Suzanne A. Stein, MSW, LCSW

  • Clinical Social Worker
  • Randolph, NJ
National Provider Identifier
1841202256
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04627300 Issued in NJ
Practice address
2 W Hanover Ave Ste 209
Randolph, NJ 07869-4222
Phone
(973) 886-2808
Fax
(973) 401-1209
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC04627300 NJ Primary

Addresses

Primary practice location

2 W Hanover Ave Ste 209
Randolph, NJ 07869-4222

Mailing address

2 W Hanover Ave Ste 209
Randolph, NJ 07869-4222
Phone (973) 886-2808

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
I20201123000858 NJ Practitioner - Clinical Social Worker 1850702903 Practice locations: Morristown, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18 Wildflower LN
Morristown, NJ 07960-2752
Phone (973) 886-2808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC04627300NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Family Programs Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841202256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W HANOVER AVE STE 209",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694222",
            "telephone_number": "973-886-2808",
            "fax_number": "973-401-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W HANOVER AVE STE 209",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694222",
            "telephone_number": "973-886-2808",
            "fax_number": "973-401-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "SUZANNE",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04627300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

Verify at the official NPI Registry.