Connie Lieberman, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

613 Hope Rd
Eatontown, NJ 07724-1278

Phone

(732) 544-4544

NPI assigned

Mar 16, 2019

Last updated

Mar 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Theracorp, LLCGroup PAC ID 8426319104, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Theracorp, LLC

  • Clinical Social Worker
  • Jamesburg, NJ
  • NPI 1063947828
  Medicare reassignment Care Compare group NPD
• Theracorp, LLC

  • Clinical Social Worker
  • East Brunswick, NJ
  • NPI 1790284909
  NPD

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

{
    "created_epoch": "1552694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552694400000",
    "number": "1942769252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BERKSHIRE DR",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077312355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 HOPE RD",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241278",
            "telephone_number": "732-544-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "CONNIE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-16",
        "last_updated": "2019-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Lesniak, DO
• Dawn Michele Levine, LMT, COMT, CMLDT
• Kristen Mulheren Levitt, LCSW
• Boning Li
• Pesel Lieber, LSW
• Lighthouse Counseling & Sand Play Training Center, LLC
• Caitlyn Liptak King, RDN
• Andrew Liscio, RN
• Kenneth A Liss, DO
• Jason David Litsky, DO

• Social Worker in Eatontown, NJ
• Providers in Eatontown, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.