Individual provider Active NPI

William J Trub, LCSW

  • Marriage & Family Therapist
  • Brick, NJ
National Provider Identifier
1861616856
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37F100106700 Issued in NJ
Practice address
104 Midstreams Road
Brick Psychotherapy Center
Brick, NJ 08724-3725
Phone
(732) 477-6400
Fax
(732) 295-9515
NPI assigned
Apr 12, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC01460600 NJ
Marriage & Family Therapist 106H00000X 37F100106700 NJ Primary

Addresses

Primary practice location

104 Midstreams Road
Brick Psychotherapy Center
Brick, NJ 08724-3725

Mailing address

104 Midstreams Road
Brick Psychotherapy Center
Brick, NJ 08724-3725
Phone (732) 477-6400

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
I20050413000134 NJ Practitioner - Clinical Social Worker 8325085160 Practice locations: Brick, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

104 Midstreams Rd
Brick, NJ 08724-3730
Phone (732) 477-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37F100106700NJMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1861616856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MIDSTREAMS ROAD",
            "address_2": "BRICK PSYCHOTHERAPY CENTER",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243725",
            "telephone_number": "732-477-6400",
            "fax_number": "732-295-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MIDSTREAMS ROAD",
            "address_2": "BRICK PSYCHOTHERAPY CENTER",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243725",
            "telephone_number": "732-477-6400",
            "fax_number": "732-295-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUB",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01460600",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37F100106700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.