Individual provider Active NPI

Leslie Stanton, LCSW

  • Clinical Social Worker
  • Galloway, NJ
National Provider Identifier
1891067963
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05491000 Issued in NJ
Practice address
400 Chris Gaupp Dr
Galloway, NJ 08205-4486
Phone
(609) 272-8580
Fax
(609) 645-7373
NPI assigned
Feb 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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 44SC05491000 NJ Primary

Addresses

Primary practice location

400 Chris Gaupp Dr
Galloway, NJ 08205-4486

Mailing address

PO Box 1086
Pleasantville, NJ 08232-6086
Phone (609) 272-8580

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
I20200331003564 NJ Practitioner - Clinical Social Worker 9739518424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Counseling Center LLCGroup PAC ID 7719225077, 8 clinicians

Practice addresses (Care Compare)

3069 English Creek Ave
Suite 224 Mindful Counseling Center
Egg HBR TWP, NJ 08234-9708
Phone (609) 377-5859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Counseling Center LLC Clinical CurrentSince Feb 11, 2020 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Atlanticare Behavioral Health, Inc. Past Accepting new patients
Atlanticare Behavioral Health, Inc. Past Accepting new patients

Locations

3069 English Creek Ave
Ste 224
Egg Hbr Twp, NJ 08234
Phone (609) 377-5859

Interoperability endpoints

  • Direct secure messaging: lesliestanton@tdh.allscriptsdirect.net

Organizations & group practices 4

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": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1891067963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1086",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082326086",
            "telephone_number": "609-272-8580",
            "fax_number": "609-645-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CHRIS GAUPP DR",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054486",
            "telephone_number": "609-272-8580",
            "fax_number": "609-645-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANTON",
        "first_name": "LESLIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05491000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.