Individual provider Active NPI

Chrysa Lawson, LSW

  • Social Worker
  • Clifton, NJ
National Provider Identifier
1164065595
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06517900 Issued in NJ
Practice address
53 Orchard St
Clifton, NJ 07013-1832
Phone
(973) 773-7600
NPI assigned
Oct 17, 2019
Last updated
Oct 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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 44SL06517900 NJ Primary

Addresses

Primary practice location

53 Orchard St
Clifton, NJ 07013-1832

Mailing address

121 Forest Ave
Glen Ridge, NJ 07028-2413
Phone (973) 699-8024

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
I20240217000745 NJ Practitioner - Clinical Social Worker 0648614636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adult Family Health Services LLCGroup PAC ID 3072918713, 7 clinicians

Practice addresses (Care Compare)

53 Orchard St
Clifton, NJ 07013-1832
Phone (973) 773-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06517900NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Adult Family Health Services LLC CurrentSince Feb 6, 2024 Accepting new patients
Adult Family Health Services LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1164065595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 FOREST AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070282413",
            "telephone_number": "973-699-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 ORCHARD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131832",
            "telephone_number": "973-773-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "CHRYSA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06517900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.