Brenna Sadowski, LCSW, CCTP, LCADC

Individual provider Active NPI Clinical Social Worker · Oceanport, NJ

NPI 1982386694 · NPPES record last updated Aug 2, 2023

Key facts

NPI
1982386694
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
44SC06178900 (NJ)
Practice address
1075 Stephenson Ave Unit C
Oceanport, NJ 07757-1242
Phone
(848) 208-2636
Fax
(848) 208-2051
NPI assigned
Aug 2, 2023
Sex
Female
Sole proprietor
Yes

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shore Psychological Healthcare LLC (15 clinicians)

Practice addresses (Care Compare)

220 Jack Martin Blvd
E2
Brick, NJ 08724-7772
Phone (732) 920-3434

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260429000516 NJ Practitioner - Clinical Social Worker 9335616234 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
37LC00371400NJMDAddiction (Substance Use Disorder) Counselor
44SC06178900NJMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC06178900 NJ Yes
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00371400 NJ

Addresses

Primary practice location

1075 Stephenson Ave Unit C
Oceanport, NJ 07757-1242

Mailing address

1075 Stephenson Ave Unit C
Oceanport, NJ 07757-1242
Phone (848) 208-2636

Other providers in Oceanport, NJ

All providers in Oceanport, NJ · Clinical Social Worker in New Jersey

Sources for this page

Verify at the official NPI Registry.