Active NPI
Alicia M Ayvas, LCSW
- Clinical Social Worker
- Hasbrouck Heights, NJ
National Provider Identifier
1003174673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05484200
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 116812 | MA | MD | Clinical Social Worker |
| 44SC05484200 | NJ | MD | Clinical Social Worker |
| 611272 | NJ | MD | School Social Worker |
| PPS-0603456 | VA | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarity Counseling, LLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gainesville, VA
- NPI 1740932185
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.