Individual provider Active NPI

Christina Marie Valerio, LCSW

  • Clinical Social Worker
  • Perth Amboy, NJ
National Provider Identifier
1164054995
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06016800 Issued in NJ
Practice address
187 Fayette St
Perth Amboy, NJ 08861-4140
Phone
(732) 410-7102
NPI assigned
Feb 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06445300 NJ
Clinical Social Worker 1041C0700X 44SC06016800 NJ Primary

Addresses

Primary practice location

187 Fayette St
Perth Amboy, NJ 08861-4140

Mailing address

539 Avenue a
Bayonne, NJ 07002-1607
Phone (201) 925-2885

Other practice location 1

enhance and elevate
10 burgess lane
willingboro, NJ 08406
Phone (732) 362-1897

Other identifiers 1

IdentifierTypeStateIssuer
116405995MedicaidNJ

Other names 1

  • Christina Marie Laurich Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL tpcc Direct

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
I20241114001497 NJ Practitioner - Clinical Social Worker 1658805502 Reassigns benefits to 1 organization
I20250502001102 PA Practitioner - Clinical Social Worker 1658805502 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06445300NJMDSocial Worker
44SC06016800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
PHC of Buffalo Grove Clinical Psychology CurrentSince Nov 1, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Apr 23, 2025 Accepting new patients
Grow Healthcare Group of New Jersey PC Clinical CurrentSince Nov 6, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

231 Clarksville Rd
Ste 4A
Princeton Junction, NJ 08550
Phone (329) 822-8887

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1164054995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 AVENUE A",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021607",
            "telephone_number": "201-925-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 FAYETTE ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614140",
            "telephone_number": "732-410-7102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "enhance and elevate",
            "address_2": "10 burgess lane",
            "address_purpose": "LOCATION",
            "city": "willingboro",
            "state": "NJ",
            "postal_code": "08406",
            "country_code": "US",
            "telephone_number": "732-362-1897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALERIO",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06445300",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06016800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116405995",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tpcc",
            "affiliation": "N",
            "endpointDescription": "outpatient",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "187 Fayette St",
            "city": "Perth Amboy",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088614140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "LAURICH",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Perth Amboy, NJ

Sources for this page

Verify at the official NPI Registry.