Josephine Ponticello, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC02037 Issued in NJ

Practice address

3 Ernst Ave
Bloomfield, NJ 07003-4508

Phone

(973) 338-6744

Fax

(973) 338-6589

NPI assigned

Dec 27, 2006

Sex

Female

Sole proprietor

No

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

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, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Township of Bloomfield

  • Clinical Social Worker
  • Bloomfield, NJ
  • NPI 1437264710
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093870040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ERNST AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034508",
            "telephone_number": "973-338-6744",
            "fax_number": "973-338-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ERNST AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034508",
            "telephone_number": "973-338-6744",
            "fax_number": "973-338-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTICELLO",
        "first_name": "JOSEPHINE",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC02037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga V Pisareva, L.AC
• Richard Gabriel Pizzano, MD
• Richard Leon Podkul, MD
• Diane Polledri, MA, CCC-SLP
• Antonia Polyviou
• Natalie Popowicz, MS, OTR/L
• Carlo J Porcaro, D.M.D.
• Sabina Mary Porcaro, M.D.
• Judith Samara Post, D.M.D.
• Joanna Marie Potter

• Clinical Social Worker in Bloomfield, NJ
• Providers in Bloomfield, 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 Jul 8, 2007; 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.