Individual provider Active NPI

Jean M. Christie, LCSW

  • Clinical Social Worker
  • North Brunswick, NJ
National Provider Identifier
1891912341
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01450500 Issued in NJ
Practice address
1460 Livingston Ave
North Brunswick, NJ 08902-1832
Phone
(732) 729-3600
Fax
(732) 435-0222
NPI assigned
Apr 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 44SC01450500 NJ Primary

Addresses

Primary practice location

1460 Livingston Ave
North Brunswick, NJ 08902-1832

Mailing address

1 Dobson Rd
East Brunswick, NJ 08816
Phone (732) 257-6565

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
I20170607000090 NJ Practitioner - Clinical Social Worker 2062789449 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Mental & Behavioral Services, Inc CurrentSince Jul 26, 2021 Accepting new patients
United Behavioral Healthcare Clinic LLC CurrentSince May 1, 2022 Accepting new patients
Premier Mental & Behavioral Services, Inc CurrentSince Jul 26, 2021 Accepting new patients
Central Counseling and Care Clinic LLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

615 Hope Rd
Ste 3B
Eatontown, NJ 07724
Phone (732) 724-1234

315 Elmora Ave
Elizabeth, NJ 07208
Phone (908) 282-1100

80 Scenic Dr
Freehold, NJ 07728
Phone (646) 522-9769

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, 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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891912341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DOBSON RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "732-257-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 LIVINGSTON AVE",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021832",
            "telephone_number": "732-729-3600",
            "fax_number": "732-435-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIE",
        "first_name": "JEAN",
        "middle_name": "M.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01450500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.