Individual provider Active NPI

Richard Hadley, LCSW

  • Clinical Social Worker
  • Ocean, NJ
National Provider Identifier
1194810069
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04683400 Issued in NJ
Practice address
931 W Park Ave
Ocean, NJ 07712-7207
Phone
(732) 493-8080
Fax
(732) 493-8810
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 44SC04683400 NJ Primary

Addresses

Primary practice location

931 W Park Ave
Ocean, NJ 07712-7207

Mailing address

265 Sudbury Rd
Point Pleasant Boro, NJ 08742-2065
Phone (732) 493-8080

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
I20050405000997 NJ Practitioner - Clinical Social Worker 7618924333 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuropsychology and Counseling Associates, LLCGroup PAC ID 4880689298, 15 clinicians

Practice addresses (Care Compare)

1683 Route 88
Suite a
Brick, NJ 08724-3072
Phone (732) 840-5266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychology & Counseling Associates, LLC CurrentSince Jan 3, 2012 Accepting new patients
Elder Life Management LLC Clinical CurrentSince Aug 1, 2006 Accepting new patients
Stress Care of Central Jersey, PC Clinical Past Accepting new patients
Stress Care of New Jersey, LLC Past Accepting new patients
Premier Care LLC Dba Elder Life Home Care LLC Past Accepting new patients

Locations

1683 Route 88 W
Ste A
Brick, NJ 08724
Phone (732) 840-5266

4 Paragon Way
Ste 350
Freehold, NJ 07728
Phone (212) 262-0741

931 W Park Ave
Ste 200
Ocean, NJ 07712

3820 River Rd
Point Pleasant Boro, NJ 08742
Phone (732) 840-5266

4000 State Route 66
Ste 225
Tinton Falls, NJ 07753

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194810069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 SUDBURY RD",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087422065",
            "telephone_number": "732-493-8080",
            "fax_number": "732-490-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 W PARK AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077127207",
            "telephone_number": "732-493-8080",
            "fax_number": "732-493-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "RICHARD",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04683400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

Verify at the official NPI Registry.