Individual provider Active NPI

Sarina Mulleavey, LCSW

  • Clinical Social Worker
  • North Brunswick, NJ
National Provider Identifier
1083012918
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05683000 Issued in NJ
Practice address
547 Harvard PL
North Brunswick, NJ 08902-2402
Phone
(732) 322-8818
NPI assigned
Dec 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 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 44SC05683000 NJ Primary

Addresses

Primary practice location

547 Harvard PL
North Brunswick, NJ 08902-2402

Mailing address

547 Harvard PL
North Brunswick, NJ 08902-2402
Phone (732) 322-8818

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160613002485 NJ Practitioner - Clinical Social Worker 8022309525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

547 Harvard PL
North Brunswick, NJ 08902-2402
Phone (732) 322-8818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05683000NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sarina Mulleavey LLC Clinical CurrentSince Jul 23, 2019 Accepting new patients
Premier Care LLC Dba Elder Life Home Care LLC PastSince Jul 3, 2019 Accepting new patients

Organizations & group practices 2

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": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1083012918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 HARVARD PL",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089022402",
            "telephone_number": "732-322-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 HARVARD PL",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089022402",
            "telephone_number": "732-322-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEAVEY",
        "first_name": "SARINA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05683000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.