Individual provider Active NPI

Mildred M Torres, LCSW

  • Clinical Social Worker
  • Jersey City, NJ
National Provider Identifier
1205967031
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04820300 Issued in NJ
Practice address
179 Palisade Ave
Jersey City, NJ 07306-1103
Phone
(201) 795-8375
Fax
(201) 795-8149
NPI assigned
Mar 7, 2007
Sex
Female
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 44SC04820300 NJ Primary

Addresses

Primary practice location

179 Palisade Ave
Jersey City, NJ 07306-1103

Mailing address

3 Marcy Ave Apt 2
Jersey City, NJ 07304-1213
Phone (201) 432-1869

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
I20120719000495 NJ Practitioner - Clinical Social Worker 3971769910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Rutgers New Jersey Medical School, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hamilton Behavioral MD PAGroup PAC ID 8426294216, 31 clinicians

Practice addresses (Care Compare)

300 Forest Ave
A
Paramus, NJ 07652-5429
Phone (201) 490-5158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Behavioral MD PA CurrentSince Jul 1, 2020 Accepting new patients
Centra Medical Group, LLC PastSince Jul 1, 2020 Accepting new patients

Locations

300 Forest Ave
#A
Paramus, NJ 07652
Phone (201) 490-5158

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205967031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MARCY AVE APT 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041213",
            "telephone_number": "201-432-1869",
            "fax_number": "201-795-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 PALISADE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061103",
            "telephone_number": "201-795-8375",
            "fax_number": "201-795-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "MILDRED",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04820300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.