Individual provider Active NPI

Anne Lisciotto, LCSW

  • Clinical Social Worker
  • Midland Park, NJ
National Provider Identifier
1023298825
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC053339500 Issued in NJ
Practice address
24 Godwin Ave
# B7
Midland Park, NJ 07432-1927
Phone
(201) 848-5800
NPI assigned
Nov 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC053339500 NJ Primary

Addresses

Primary practice location

24 Godwin Ave
# B7
Midland Park, NJ 07432-1927

Mailing address

24 Godwin Ave
# B7
Midland Park, NJ 07432-1927
Phone (201) 848-5800

Other names 1

  • Anne Cardone Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24 Godwin Ave
B7
Midland Park, NJ 07432-1927
Phone (646) 831-8754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC053339500NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Lisciotto LCSW LLC Clinical CurrentSince Feb 25, 2020 Accepting new patients

Locations

24 Godwin Ave
#B7
Midland Park, NJ 07432
Phone (201) 848-5800

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": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1023298825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 GODWIN AVE",
            "address_2": "# B7",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321927",
            "telephone_number": "201-848-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 GODWIN AVE",
            "address_2": "# B7",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321927",
            "telephone_number": "201-848-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISCIOTTO",
        "first_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC053339500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "CARDONE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midland Park, NJ

Sources for this page

Verify at the official NPI Registry.