Individual provider Active NPI

Michele Natoli, LCSW

  • Clinical Social Worker
  • Sparta, NJ
National Provider Identifier
1144587791
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05294600 Issued in NJ
Practice address
283 Sparta Ave
Sparta, NJ 07871-1162
Phone
(973) 534-6412
Fax
(888) 726-8448
NPI assigned
Apr 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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 44SC05294600 NJ Primary

Addresses

Primary practice location

283 Sparta Ave
Sparta, NJ 07871-1162

Mailing address

28 Oriole Dr
Hackettstown, NJ 07840-3116
Phone (908) 441-6144

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
I20141010002160 NJ Practitioner - Clinical Social Worker 1052531159 Practice locations: Sparta, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

283 Sparta Ave
Sparta, NJ 07871-1162
Phone (973) 534-6412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05294600NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1144587791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ORIOLE DR",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078403116",
            "telephone_number": "908-441-6144",
            "fax_number": "888-726-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 SPARTA AVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711162",
            "telephone_number": "973-534-6412",
            "fax_number": "888-726-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATOLI",
        "first_name": "MICHELE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05294600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

Verify at the official NPI Registry.