Individual provider Active NPI

Larriesa Smith, LCSW

  • Clinical Social Worker
  • East Brunswick, NJ
National Provider Identifier
1144977281
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06070700 Issued in NJ
Practice address
629 Cranbury Rd FL 2
East Brunswick, NJ 08816-4096
Phone
(732) 390-7550
NPI assigned
Mar 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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 44SC06070700 NJ Primary

Addresses

Primary practice location

629 Cranbury Rd FL 2
East Brunswick, NJ 08816-4096

Mailing address

629 Cranbury Rd FL 2
East Brunswick, NJ 08816-4096

Other practice location 1

5 Theresa Pl
South River, NJ 08882-2141
Phone (908) 227-0140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220617002080 NJ Practitioner - Clinical Social Worker 9032598230 Reassigns benefits to 3 organizations
I20260625003026 PA Practitioner - Clinical Social Worker 9032598230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Titan Health Partners LLCGroup PAC ID 3971915349, 98 clinicians

Practice addresses (Care Compare)

629 Cranbury Rd
FL 2
East Brunswick, NJ 08816-4096
Phone (732) 390-7750

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Titan Health Partners LLC CurrentSince Jul 11, 2024 Accepting new patients
Vimax LLC CurrentSince May 9, 2022 Accepting new patients
Vimax LLC CurrentSince May 9, 2022 Accepting new patients
Titan Health Partners LLC CurrentSince Jul 11, 2024 Accepting new patients

Locations

629 Cranbury Rd
#2
East Brunswick, NJ 08816
Phone (570) 468-1555

6 Cornwall Ct
East Brunswick, NJ 08816
Phone (732) 257-0003

6 Cornwall Ct
Ste B
East Brunswick, NJ 08816
Phone (732) 955-4141

34-36 Progress St
Ste B
Edison, NJ 08820

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": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1144977281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 CRANBURY RD FL 2",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 CRANBURY RD FL 2",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164096",
            "telephone_number": "732-390-7550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Theresa Pl",
            "address_purpose": "LOCATION",
            "city": "South River",
            "state": "NJ",
            "postal_code": "088822141",
            "country_code": "US",
            "telephone_number": "908-227-0140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LARRIESA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06070700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.