Individual provider Active NPI

Elizabeth A Migneco, MSW;LCSW;LMFT

  • Clinical Social Worker
  • Westfield, NJ
National Provider Identifier
1083756597
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC01536 Issued in NJ
Practice address
1600 Rahway Ave
Westfield, NJ 07090-3615
Phone
(908) 873-1879
Fax
(908) 317-5459
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC01536 NJ Primary
Clinical Social Worker 1041C0700X 073151 NY
Marriage & Family Therapist 106H00000X FI01238 NJ

Addresses

Primary practice location

1600 Rahway Ave
Westfield, NJ 07090-3615

Mailing address

1 5TH Ave
Cranford, NJ 07016-1638
Phone (908) 276-1331

Other identifiers 3

IdentifierTypeStateIssuer
073151OtherNYLCSW
SC01536OtherNJLCSW
FI01238OtherNJMARRIAGE & FAMILY LICENSE

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
I20050415000196 NJ Practitioner - Clinical Social Worker 1951348499 Practice locations: Westfield, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1600 Rahway Ave
Westfield, NJ 07090-3615
Phone (908) 873-1979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC01536NJMDClinical Social Worker
FI01238NJMDMarriage & Family Therapist
073151NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1083756597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 5TH AVE",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070161638",
            "telephone_number": "908-276-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 RAHWAY AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070903615",
            "telephone_number": "908-873-1879",
            "fax_number": "908-317-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGNECO",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MSW;LCSW;LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC01536",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073151",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "FI01238",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "073151",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "SC01536",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE & FAMILY LICENSE",
            "identifier": "FI01238",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

Verify at the official NPI Registry.