Active NPI
Patricia Gale Vadine, LCSW
- Clinical Social Worker
- River Vale, NJ
National Provider Identifier
1093045213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC01299200
- Practice address
- 725 River Vale Rd.
River Vale, NJ 07675 - Phone
- (201) 983-2200
- Fax
- (201) 391-9516
- NPI assigned
- Jan 11, 2010
- Last updated
- Dec 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC01299200 | NJ | Primary |
| Counseling Psychologist | 103TC1900X | |||
| Psychoanalyst | 102L00000X |
Addresses
Primary practice location
725 River Vale Rd.
River Vale, NJ 07675
Mailing address
725 River Vale Rd.
River Vale, NJ 07675
Phone (201) 983-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC01299200 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Family Service of North Jersey, Inc. | Past | Accepting new patients | |
| Jewish Family & Children's Services of Northern New Jersey, Inc. | Clinical | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Teaneck, NJ
- NPI 1851397947
-
- Voluntary or Charitable Agency
- Wayne, NJ
- NPI 1295884963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419206400000",
"number": "1093045213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 RIVER VALE RD.",
"city": "RIVER VALE",
"state": "NJ",
"postal_code": "07675",
"telephone_number": "201-983-2200",
"fax_number": "201-391-9516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 RIVER VALE RD.",
"city": "RIVER VALE",
"state": "NJ",
"postal_code": "07675",
"telephone_number": "201-983-2200",
"fax_number": "201-391-9516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VADINE",
"first_name": "PATRICIA",
"middle_name": "GALE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-11",
"last_updated": "2014-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC01299200",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in River Vale, NJ
- Spectrum for Living Development, Inc.
- Spectrum for Living Development, Inc.
- Spectrum for Living Group Homes Inc.
- The Whole Family Center
- Think Fast PT
- William Valante
- Viewpoint Therapeutic Services LLC
- Walgreen Co (Walgreens #19523)
- Wigs by Barbara (River Vale Home Medical Equipment C)
- Wigs by Barbara (Park Ridge Wig Center of River Vale)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.