Individual provider Active NPI

Asim Husain, LCSW

  • Clinical Social Worker
  • Augusta, NJ
National Provider Identifier
1881234532
Registry record updated May 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06335500 Issued in NJ
Practice address
31 US Highway 206
2ND Floor, Suite B
Augusta, NJ 07822-2041
Phone
(203) 293-7603
Fax
(973) 860-5363
NPI assigned
Jan 10, 2020
Last updated
May 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 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 44SC06335500 NJ Primary
Clinical Social Worker 1041C0700X 011638 CT

Addresses

Primary practice location

31 US Highway 206
2ND Floor, Suite B
Augusta, NJ 07822-2041

Mailing address

31 US Highway 206
2ND Floor, Suite B
Augusta, NJ 07822-2041
Phone (203) 293-7603

Other practice location 1

264 Church St
Guilford, CT 06437-2439
Phone (203) 693-4566 ext. 10

Other practice location 2

102 Highland St
West Haven, CT 06516-3624
Phone (203) 293-7603

Other identifiers 2

IdentifierTypeStateIssuer
008109728MedicaidCT
1008170MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220523000437 CT Practitioner - Clinical Social Worker 2668859109 Reassigns benefits to 1 organization
I20240925001397 NJ Practitioner - Clinical Social Worker 2668859109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellness HouseGroup PAC ID 0042751455, 2 clinicians

Practice addresses (Care Compare)

31 US Hwy 206
Augusta, NJ 07822-2041
Phone (203) 293-7603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011638CTMDClinical Social Worker
11638CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Creek Wellness Group, LLC Clinical CurrentSince Sep 1, 2022 Accepting new patients
Wellness House Clinical CurrentSince Mar 27, 2024 Accepting new patients

Locations

264 Church St
Guilford, CT 06437
Phone 2036934566 ext. 10

31 US Highway 206
Ste 2
Augusta, NJ 07822
Phone (203) 293-7603

Organizations & group practices 2

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": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746230400000",
    "number": "1881234532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 US HIGHWAY 206",
            "address_2": "2ND FLOOR, SUITE B",
            "city": "AUGUSTA",
            "state": "NJ",
            "postal_code": "078222041",
            "telephone_number": "203-293-7603",
            "fax_number": "973-860-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 US HIGHWAY 206",
            "address_2": "2ND FLOOR, SUITE B",
            "city": "AUGUSTA",
            "state": "NJ",
            "postal_code": "078222041",
            "telephone_number": "203-293-7603",
            "fax_number": "973-860-5363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "264 Church St",
            "address_purpose": "LOCATION",
            "city": "Guilford",
            "state": "CT",
            "postal_code": "064372439",
            "country_code": "US",
            "telephone_number": "203-693-4566 x10",
            "fax_number": "203-457-5970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Highland St",
            "address_purpose": "LOCATION",
            "city": "West Haven",
            "state": "CT",
            "postal_code": "065163624",
            "country_code": "US",
            "telephone_number": "203-293-7603",
            "fax_number": "973-860-5363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSAIN",
        "first_name": "ASIM",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-10",
        "last_updated": "2025-05-03",
        "certification_date": "2025-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06335500",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "011638",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008109728",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008170",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, NJ

Sources for this page

Verify at the official NPI Registry.