Active NPI
Anchor Behavioral Health, LLC
- Clinical Social Worker
- Toms River, NJ
National Provider Identifier
1164925665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05623800
- Legal business name
- ANCHOR BEHAVIORAL HEALTH, LLC
- Practice address
- 121 Washington St
Toms River, NJ 08753-7656 - Phone
- (732) 977-9838
- NPI assigned
- Mar 12, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cara Paolillo, MSW, LCSW
- Title
- Owner
- Phone
- (732) 977-9838
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05623800 | NJ | Primary |
Addresses
Primary practice location
121 Washington St
Toms River, NJ 08753-7656
Mailing address
905 Salem Dr
Toms River, NJ 08753-3947
Phone (848) 210-3759
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
121 Washington St
Toms River, NJ 08753
Phone (732) 600-0489
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Brick, NJ
- NPI 1295183473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520812800000",
"number": "1164925665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 SALEM DR",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087533947",
"telephone_number": "848-210-3759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 WASHINGTON ST",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087537656",
"telephone_number": "732-977-9838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANCHOR BEHAVIORAL HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-12",
"last_updated": "2018-03-12",
"status": "A",
"authorized_official_last_name": "PAOLILLO",
"authorized_official_first_name": "CARA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-977-9838",
"authorized_official_credential": "MSW, LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05623800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.