Individual provider Active NPI

Angela R. Constantino, LCSW

  • Social Worker
  • Rockaway, NJ
National Provider Identifier
1003194473
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL05701900 Issued in NJ
Practice address
50 Knoll Dr
Rockaway, NJ 07866-4024
Phone
(973) 664-2254
NPI assigned
Aug 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL05701900 NJ Primary

Addresses

Primary practice location

50 Knoll Dr
Rockaway, NJ 07866-4024

Mailing address

50 Knoll Dr
Rockaway, NJ 07866-4024
Phone (973) 664-2254

Other practice location 1

130 Powerville Rd
Boonton, NJ 07005-8705
Phone (973) 299-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SL05701900NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1003194473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 KNOLL DR",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078664024",
            "telephone_number": "973-664-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 KNOLL DR",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078664024",
            "telephone_number": "973-664-2254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Powerville Rd",
            "address_purpose": "LOCATION",
            "city": "Boonton",
            "state": "NJ",
            "postal_code": "070058705",
            "country_code": "US",
            "telephone_number": "973-299-5400",
            "fax_number": "973-299-5454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONSTANTINO",
        "first_name": "ANGELA",
        "middle_name": "R.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05701900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.