Brian Condon Jr., BRIAN CONDON LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05487700 Issued in NJ

Practice address

333 Tilton Rd
Northfield, NJ 08225-1253

Phone

(609) 377-8118

Fax

(609) 377-8120

NPI assigned

Jan 21, 2012

Last updated

Jan 21, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1327104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327104000000",
    "number": "1841561909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 HERBERT DR",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251445",
            "telephone_number": "301-706-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 TILTON RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251253",
            "telephone_number": "609-377-8118",
            "fax_number": "609-377-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDON",
        "first_name": "BRIAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "BRIAN CONDON LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-21",
        "last_updated": "2012-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05487700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counseling & Therapeutic Services

• Clinical Social Worker in Northfield, NJ
• Providers in Northfield, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2012; 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.