Individual provider Active NPI

Irina B Stuchinsky, LCSW

  • Clinical Social Worker
  • Freehold, NJ
National Provider Identifier
1891188652
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05538600 Issued in NJ
Practice address
495 Iron Bridge Rd Ste 12
Freehold, NJ 07728-5306
Phone
(732) 334-8624
Fax
(732) 400-9131
NPI assigned
Mar 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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 44SC05538600 NJ Primary

Addresses

Primary practice location

495 Iron Bridge Rd Ste 12
Freehold, NJ 07728-5306

Mailing address

5 Saxon CT
Manalapan, NJ 07726-1708
Phone (848) 459-3407

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
I20250613001945 NJ Practitioner - Clinical Social Worker 2365953734 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Rivera Marano, Psy.D., LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

495 Iron Bridge Rd
Ste 12
Freehold, NJ 07728
Phone (732) 334-8624

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": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1891188652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SAXON CT",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077261708",
            "telephone_number": "848-459-3407",
            "fax_number": "732-400-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 IRON BRIDGE RD STE 12",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285306",
            "telephone_number": "732-334-8624",
            "fax_number": "732-400-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCHINSKY",
        "first_name": "IRINA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05538600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.