Individual provider Active NPI

Leanna Acquaro, MSW, LCSW, LCADC

  • Clinical Social Worker
  • Lakewood, NJ
National Provider Identifier
1134775562
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06014800 Issued in NJ
Practice address
700 Airport Rd
Lakewood, NJ 08701-5907
Phone
(732) 367-4700
NPI assigned
Aug 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2018-000627 NJ
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00327900 NJ
Social Worker 104100000X 44SL06482300 NJ
Clinical Social Worker 1041C0700X 44SC06014800 NJ Primary

Addresses

Primary practice location

700 Airport Rd
Lakewood, NJ 08701-5907

Mailing address

444 Mermaid Ave
Beachwood, NJ 08722-3708
Phone (732) 977-5513

Other identifiers 1

IdentifierTypeStateIssuer
0029807MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TX, MS, VA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20210929002512 NJ Practitioner - Clinical Social Worker 2961809256 Reassigns benefits to 2 organizations
I20240705001612 TX Practitioner - Clinical Social Worker 2961809256 Reassigns benefits to 1 organization
I20250404000477 MS Practitioner - Clinical Social Worker 2961809256 Reassigns benefits to 1 organization
I20250917004033 VA Practitioner - Clinical Social Worker 2961809256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Modern Psychiatry NJ PC 17 clinicians

Practice addresses (Care Compare)

40 Bey Lea Rd
Toms River, NJ 08753-2900
Phone (732) 831-6094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018-000627NJMDAddiction (Substance Use Disorder) Counselor
37LC00327900NJMDAddiction (Substance Use Disorder) Counselor
44SL06482300NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Behavioral Health of New Jersey, Inc CurrentSince Sep 20, 2021 Accepting new patients
Preferred Behavioral Health of New Jersey, Inc CurrentSince Sep 20, 2021 Accepting new patients
Modern Psychiatry, PA Clinical CurrentSince Apr 26, 2024 Accepting new patients
Preferred Behavioral Health of New Jersey, Inc. Current Accepting new patients
Modern Psychiatry NJ PC CurrentSince Aug 7, 2023 Accepting new patients
Tears to Cheers Handwriting Clinic, LLC CurrentSince Apr 26, 2024 Accepting new patients

Locations

501 Krebs Ave
Ste C
Pascagoula, MS 39567
Phone (225) 302-0196

700 Airport Rd
Lakewood, NJ 08701
Phone (732) 458-1700

40 Bey Lea Rd
Ste C101
Toms River, NJ 08753
Phone (732) 341-9901

20 Hospital Dr
Ste 4
Toms River, NJ 08755
Phone (732) 286-0222

8355 Walnut Hill Ln
Ste 225A
Dallas, TX 75231
Phone (346) 336-2265

24721 State Highway 249
Tomball, TX 77375
Phone (281) 205-3681

Interoperability endpoints

  • Direct secure messaging: modernpsychiatry.leannaacquaro@161825.advancedmd-direct.com

Organizations & group practices 6

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": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1134775562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 MERMAID AVE",
            "city": "BEACHWOOD",
            "state": "NJ",
            "postal_code": "087223708",
            "telephone_number": "732-977-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 AIRPORT RD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015907",
            "telephone_number": "732-367-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACQUARO",
        "first_name": "LEANNA",
        "credential": "MSW, LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2023-05-05",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "2018-000627",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00327900",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06482300",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06014800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0029807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.