Rebecca P Coniglio, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05154900 Issued in NJ

Practice address

48 Marion Ave
New Providence, NJ 07974-1908

Phone

(973) 568-6453

NPI assigned

Feb 15, 2024

Last updated

Oct 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Doppler Psychology Services PCGroup PAC ID 2466813001, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Doppler Psychology Services PC

  • Community/Behavioral Health Agency
  • East Elmhurst, NY
  • NPI 1720773914

  NJ

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1043075468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MARION AVE",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741908",
            "telephone_number": "973-568-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MARION AVE",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741908",
            "telephone_number": "973-568-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONIGLIO",
        "first_name": "REBECCA",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "22SC05154900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05154900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Access Unlimitd Inc
• Community Access Unlimitd Inc
• Community Access Unlimited, Inc.
• Community Action for Independent Living, Inc.
• Community Options Enterprises, Inc.
• Caroline Cooke, FNP
• Jessica Corcoran
• John Joseph Corino, DMD, MS
• Diana Corrado, MS LAC
• Michelle Chan Cottino, PHARMD, BCACP

• Clinical Social Worker in New Providence, NJ
• Providers in New Providence, 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 Oct 16, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.