Chrystie L Obie, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05688100 Issued in NJ

Practice address

3176 State Route 27 Ste 2B
Kendall Park, NJ 08824-1514

Phone

(732) 322-4566

NPI assigned

Mar 29, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Meaningful Life Counseling LLC

  • Adult Mental Health Clinic/Center
  • Kendall Park, NJ
  • NPI 1992343719
  NPD Authorized official

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1932631967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3176 STATE ROUTE 27 STE 2B",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241514",
            "telephone_number": "609-480-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3176 STATE ROUTE 27 STE 2B",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241514",
            "telephone_number": "732-322-4566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 Parkway Ave Ste 7",
            "address_purpose": "LOCATION",
            "city": "Ewing",
            "state": "NJ",
            "postal_code": "086283006",
            "country_code": "US",
            "telephone_number": "609-403-6539",
            "fax_number": "609-357-9488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBIE",
        "first_name": "CHRYSTIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05688100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan L Newbold, PA
• NJ 365 Urgent Care LLC
• Thomas Noldus, DMD
• Martha A. Nowell, M.D.
• Bernard B. O'Malley, M.D.
• Kathleen Marie Ostertag, LPC
• Urvashi Pandit, DO
• Ashok M Parikh, RPH
• Parul Parikh
• William A. Parker, M.D.

• Clinical Social Worker in Kendall Park, NJ
• Providers in Kendall Park, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.