Edward Spade, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05365500 Issued in NJ

Practice address

94 Stevens Rd
Toms River, NJ 08755-1490

Phone

(732) 914-1100

Fax

(732) 797-3830

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical

  Medicare reassignment NPD
• The LJD Jewish Family & Community Services, Inc

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1538255088
  Medicare reassignment NPD
• Jewish Family and Community Services

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1861264418
  NPD

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1982652368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 AUSTIN ST",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077127759",
            "telephone_number": "732-762-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 STEVENS RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551490",
            "telephone_number": "732-914-1100",
            "fax_number": "732-797-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADE",
        "first_name": "EDWARD",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05365500",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7668",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "Z105X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Soundwaves Speech Language Services LLC
• South Jersey Psychology
• South Tom's River Volunteer First Aid and Rescue Squad Inc
• Southern Ocean Sports Training, P.C. (Southern Ocean Physical Therapy)
• SP White Psychological Services, LLC
• Spark Rehab
• Moshe Spatz, MD
• Ivy Hopp Spears, O.D.
• Michael J Spedick, MD
• Kathryn Speelman, RD, RDN

• Clinical Social Worker in Toms River, NJ
• Providers in Toms River, 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 Jun 8, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.