JACQUELINE SUZANNE STADLER (NPI# 1033320122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033320122 |
| Entity Type | Individual |
| Full Name | JACQUELINE SUZANNE STADLER |
| Credential | LCSW |
| Practice Address |
570 Lee Street Perth Amboy NJ 08861-3053 |
| Practice Telephone | 7324421666 |
| Practice Fax Number | 7324429512 |
| Mailing Telephone | 7324421666 |
| Mailing Fax Number | 7324429512 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2010-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC05320800 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
570 LEE STREET |
| City | PERTH AMBOY |
| State | NJ |
| Zip Code | 08861-3053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205914520 | Padmaja Annamaneni | Psychiatry & Neurology | 570 Lee Street, Raritan Bay Mental Health Center, Perth Amboy, NJ 08861-3053 | 2006-11-02 |
| 1003161043 | Denise Rue | Social Worker | 570 Lee Street, Raritan Bay Mental Health Center, Perth Amboy, NJ 08861-3053 | 2012-07-16 |
| 1023330024 | Alba J Vizcaino | Social Worker | 570 Lee Street, Raritan Bay Mental Health Center, Perth Amboy, NJ 08861-0353 | 2010-02-18 |
| 1669642542 | Patricia Canete | Social Worker | 570 Lee Street, Raritan Bay Mental Health Center, Perth Amboy, NJ 08861 | 2008-03-06 |
| 1942403985 | Gurcharan Kaur Kharbanda | Social Worker | 570 Lee Street, Perth Amboy, NJ 08861 | 2007-06-07 |
| 1407061344 | Susan Nowelsky | Social Worker | 570 Lee Street, Perth Amboy, NJ 08861 | 2007-05-14 |
| 1114130911 | Anna Halina Klimachefsky | Social Worker | 570 Lee Street, Perth Amboy, NJ 08861-3053 | 2007-05-08 |
| 1205952173 | Prabhavathi Venkata Gude | Psychiatry & Neurology | 570 Lee Street, Raritan Bay Mental Health Center, Perth Amboy, NJ 08861-3053 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961056 | Elahe Marandi | Student in an Organized Health Care Education/Training Program | 530 Brunswick Avenue, Perth Amboy, NJ 08861 | 2020-04-22 |
| 1942770193 | Bensen Larose | Physical Therapy Assistant | 10 Harbor Terrace Apt 3k, Perth Amboy, NJ 08861 | 2018-11-30 |
| 1679098578 | Elizabeth Hernandez | Social Worker | 109 Broad St., Perth Amboy, NJ 08861 | 2017-08-11 |
| 1114463577 | Iryna Gutsulyak | Behavioral Analyst | 768 Central Place, Perth Amboy, NJ 08861 | 2017-01-10 |
| 1821544552 | Demi Marie Mendez | Specialist/Technologist | 147 Market Street 2nd Floor, Perth Amboy, NJ 08861 | 2016-09-01 |
| 1174987325 | Mc Laney Moise | Social Worker | 597 Harbortown Blvd Bldg 43, Perth Amboy, NJ 08861 | 2016-04-13 |
| 1326477027 | Passion Care Center | Clinic/Center | 187 Fayette Street, Perth Amboy, NJ 08861 | 2013-11-04 |
| 1609201813 | Payal Patel | Physical Therapist | 553 Sayre Ave Ste 104, Perth Amboy, NJ 08861 | 2013-09-06 |
| 1750628301 | Opticare Physical Therapy, LLP | Physical Therapist | 155 New Brunswick Avenue, Perth Amboy, NJ 08861 | 2013-01-15 |
| 1467701094 | Monica Medina | Social Worker | 271 Smith Street, Perth Amboy, NJ 08861 | 2012-08-29 |
| Find all providers in zip 08861 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679098578 | Elizabeth Hernandez | Social Worker | 109 Broad St., Perth Amboy, NJ 08861 | 2017-08-11 |
| 1427509058 | Justin Serrano | Social Worker | 719 Carson Ave, Perth Amboy, NJ 08861-2403 | 2016-10-19 |
| 1174987325 | Mc Laney Moise | Social Worker | 597 Harbortown Blvd Bldg 43, Perth Amboy, NJ 08861 | 2016-04-13 |
| 1467701094 | Monica Medina | Social Worker | 271 Smith Street, Perth Amboy, NJ 08861 | 2012-08-29 |
| 1457665614 | Miryam L Arjona | Social Worker | 400 State St Suite 2, Perth Amboy, NJ 08861-3486 | 2010-07-29 |
| 1467665414 | Julee Ann Wickliffe | Social Worker | 262 State St, Perth Amboy, NJ 08861 | 2007-05-07 |
| 1336200971 | Sunrise Institute for Mental Health | Social Worker | 387 Neville St, Perth Amboy, NJ 08861-3108 | 2006-12-13 |
| 1245875210 | Carla Pelosi Mueller I | Social Worker | 319 Maple St, Perth Amboy, NJ 08861-4101 | 2019-11-13 |
| 1447737036 | Talk About It | Social Worker | 597 Harbortown Blvd Bldg 43, Perth Amboy, NJ 08861-3087 | 2018-07-26 |
| 1568972339 | Raritan Bay Area Ymca | Social Worker | 357 New Brunswick Ave, Perth Amboy, NJ 08861-3940 | 2017-10-06 |
| Find all providers in PERTH AMBOY | ||||
| City | PERTH AMBOY |
| Zip Code | 08861 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.