Individual provider Active NPI

Alicia M Ayvas, LCSW

  • Clinical Social Worker
  • Hasbrouck Heights, NJ
National Provider Identifier
1003174673
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05484200 Issued in NJ
Practice address
212 Boulevard
Hasbrouck Heights, NJ 07604-1802
Phone
(201) 803-2382
NPI assigned
May 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 116812 MA
Clinical Social Worker 1041C0700X 44SC05484200 NJ Primary
School Social Worker 1041S0200X PPS-0603456 VA
School Social Worker 1041S0200X 611272 NJ

Addresses

Primary practice location

212 Boulevard
Hasbrouck Heights, NJ 07604-1802

Mailing address

212 Boulevard
Hasbrouck Heights, NJ 07604-1802
Phone (201) 803-2382

Other names 1

  • Alicia Ayvas Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 7, 2024 through Feb 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
116812MAMDClinical Social Worker
44SC05484200NJMDClinical Social Worker
611272NJMDSchool Social Worker
PPS-0603456VAMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Counseling, LLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

7150 Heritage Village Plz
Ste 201
Gainesville, VA 20155
Phone (540) 364-0153

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.

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1003174673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 BOULEVARD",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041802",
            "telephone_number": "201-803-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 BOULEVARD",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041802",
            "telephone_number": "201-803-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYVAS",
        "first_name": "ALICIA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116812",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05484200",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "VA",
            "license": "PPS-0603456",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NJ",
            "license": "611272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "AYVAS",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hasbrouck Heights, NJ

Sources for this page

Verify at the official NPI Registry.