Individual provider Active NPI

Courtney Elizabeth Paccione, LSW

  • Social Worker
  • Washington, NJ
National Provider Identifier
1144968637
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06667300 Issued in NJ
Practice address
492 Route 57 W
Washington, NJ 07882-4411
Phone
(908) 689-1000
NPI assigned
May 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06667300 NJ Primary

Addresses

Primary practice location

492 Route 57 W
Washington, NJ 07882-4411

Mailing address

492 NJ-57
Washington, NJ 07882-3602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06667300NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Behavioral MD PA CurrentSince Aug 23, 2024 Accepting new patients
Centra Medical Group, LLC PastSince Aug 23, 2024 Accepting new patients

Locations

300 Forest Ave
#A
Paramus, NJ 07652
Phone (201) 490-5158

300 Forest Ave
Paramus, NJ 07652
Phone (201) 490-5158

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1144968637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 NJ-57",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078823602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 ROUTE 57 W",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078824411",
            "telephone_number": "908-689-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACCIONE",
        "first_name": "COURTNEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-08-03",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06667300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NJ

Sources for this page

Verify at the official NPI Registry.