Themistoklis Bakelas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05894900 Issued in NJ

Practice address

24 Field LN
Denville, NJ 07834-1311

Phone

(201) 274-6150

NPI assigned

Sep 19, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grow Healthcare Group of New Jersey PC

  • Mental Health Counselor
  • Hoboken, NJ
  • NPI 1841949328

  Clinical

  NPD
• Total Life NJ P.a.

  • Cognitive & Behavioral Psychologist
  • New Brunswick, NJ
  • NPI 1104659614
  NPD

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1033936265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FIELD LN",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078341311",
            "telephone_number": "201-274-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 FIELD LN",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078341311",
            "telephone_number": "201-274-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKELAS",
        "first_name": "THEMISTOKLIS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05894900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audiology Services Company USA, LLC
• Vincent Avantagiato, D.C.
• Avante Pathology, LLC
• Maneesh Avula, M.D.
• Julie Badras
• Megan Baker, LPC
• Swetha Balaji, MBBS
• Nirbhay Ramesbhai Baldaniya
• Manu Balusu, MBBS
• Cara L Banafato, LCSW

• Clinical Social Worker in Denville, NJ
• Providers in Denville, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.