Active NPIIndividual provider

Ian Nussbaum, LSW

Social Worker in Avenel, New Jersey

NPI Number1760974257
Practice location
1500 Saint Georges Ave Ste E, Avenel, NJ 07001-1000
Fax
—
Last updated
May 31, 2018

Ian Nussbaum is a Social Worker based in Avenel, NJ. Ian Nussbaum practices in Avenel, NJ and has the professional credentials of LSW. The NPI Number for Ian Nussbaum is 1760974257 and holds a License No. 44SL06114300 (NJ). The current practice location address for Ian Nussbaum is 1500 Saint Georges Ave Ste E, Avenel, NJ 07001-1000 and can be reached out via phone at 856-772-5809.

Provider Profile Details

NPI Number
1760974257
Provider Name
Ian Nussbaum
Credential
LSW
Provider Entity Type
Individual
Gender
Male
Address
1500 Saint Georges Ave Ste E, Avenel, NJ 07001-1000
Phone Number
856-772-5809
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
May 31, 2018
Last Update Date
May 31, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1500 Saint Georges Ave Ste E
Avenel, NJ 07001-1000
City
Avenel
Zip
07001-1000
Phone Number
856-772-5809
Avenel, NJ 07001Get directions →

Provider Business Mailing Address Details

Address
52 Aberdare CT Unit 7
Freehold, NJ 07728-4918
City
Freehold
State
NJ
Zip
07728-4918
Phone Number
732-614-8034

License Information

License Number
44SL06114300
License State
NJ
Taxonomy
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ian Nussbaum, LSW?

The NPI number of Ian Nussbaum, LSW is 1760974257. It was assigned on May 31, 2018 and is currently active in the NPPES registry.

What is the specialty of Ian Nussbaum, LSW?

Ian Nussbaum, LSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NJ under license number 44SL06114300.

Where does Ian Nussbaum, LSW practice?

The practice location is 1500 Saint Georges Ave Ste E, Avenel, NJ 07001-1000. The office can be reached at 856-772-5809 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760974257 directly on the NPPES registry website.

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