Individual provider Active NPI

April Michelle Chillemi, LCSW

  • Clinical Social Worker
  • Lakehurst, NJ
National Provider Identifier
1205166105
Registry record updated May 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05503200 Issued in NJ
Practice address
215 Manapaqua Ave
Lakehurst, NJ 08733-2601
Phone
(732) 393-8704
NPI assigned
Dec 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2017

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 44SC05503200 NJ Primary

Addresses

Primary practice location

215 Manapaqua Ave
Lakehurst, NJ 08733-2601

Mailing address

1108 Hooper Ave
Suite 2
Toms River, NJ 08753-8344
Phone (732) 393-8704

Other identifiers 1

IdentifierTypeStateIssuer
1205166105OtherTYPE 1

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
I20150921000467 NJ Practitioner - Clinical Social Worker 6507173739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05503200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Your Time for Change Clinical Past Accepting new patients

Organizations & group practices 1

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": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496188800000",
    "number": "1205166105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 HOOPER AVE",
            "address_2": "SUITE 2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538344",
            "telephone_number": "732-393-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MANAPAQUA AVE",
            "city": "LAKEHURST",
            "state": "NJ",
            "postal_code": "087332601",
            "telephone_number": "732-393-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILLEMI",
        "first_name": "APRIL",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-28",
        "last_updated": "2017-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05503200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1",
            "identifier": "1205166105",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakehurst, NJ

Sources for this page

Verify at the official NPI Registry.