Individual provider Active NPI

Lakesha Israel, LCSW

  • Clinical Social Worker
  • Hammonton, NJ
National Provider Identifier
1134664840
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
NJ-44SCO5630200 Issued in NJ
Practice address
5 S 3Rd St
Hammonton, NJ 08037-1677
Phone
(609) 704-5383
Fax
(609) 270-7667
NPI assigned
Jan 4, 2017
Last updated
Jan 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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 NJ-44SCO5630200 NJ Primary

Addresses

Primary practice location

5 S 3Rd St
Hammonton, NJ 08037-1677

Mailing address

5 S 3Rd St
Hammonton, NJ 08037-1677
Phone (609) 704-5383

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
I20190129003531 NJ Practitioner - Clinical Social Worker 0446597447 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NJ-44SCO5630200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A Better Tomorrow Counseling Services CurrentSince Dec 12, 2018 Accepting new patients
Its Ok to Ask for Help Clinical CurrentSince Mar 18, 2022 Accepting new patients
Shine Medical of Ca PC Past Accepting new patients

Locations

901 Route 168
Ste 103
Turnersville, NJ 08012
Phone (856) 266-4983

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1134664840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 S 3RD ST",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371677",
            "telephone_number": "609-704-5383",
            "fax_number": "609-270-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 S 3RD ST",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371677",
            "telephone_number": "609-704-5383",
            "fax_number": "609-270-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAEL",
        "first_name": "LAKESHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "NJ-44SCO5630200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

Verify at the official NPI Registry.