Individual provider Active NPI

Chandni Patel, LCSW, LCADC

  • Clinical Social Worker
  • Middlesex, NJ
National Provider Identifier
1235777285
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06289400 Issued in NJ
Practice address
333 Cedar Ave
Middlesex, NJ 08846-2400
Phone
(732) 560-1011
NPI assigned
Dec 19, 2019
Last updated
Mar 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00358500 NJ
Mental Health Counselor 101YM0800X NU
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X 44SC06289400 NJ Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

333 Cedar Ave
Middlesex, NJ 08846-2400

Mailing address

239 Parsonage Rd
Edison, NJ 08837-2104

Other practice location 1

40 Woodbridge Ave
Sewaren, NJ 07077-1351
Phone (732) 636-1931

Other practice location 2

10 Parsonage Rd
Edison, NJ 08837-2429
Phone (732) 204-1635

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
I20240821000638 NJ Practitioner - Clinical Social Worker 4789122789 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Therapy Institute New JerseyGroup PAC ID 8921316605, 12 clinicians
Lifebulb LLCGroup PAC ID 2062881162, 97 clinicians

Practice addresses (Care Compare)

400 New Durham Rd
Metuchen, NJ 08840-2455
Phone (732) 902-2181

505 Main St
Toms River, NJ 08753-7443
Phone (732) 272-0127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00358500NJMDAddiction (Substance Use Disorder) Counselor
44SC06289400NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Therapy Institute New Jersey Social Worker CurrentSince Sep 1, 2025 Accepting new patients
Thrive Counseling LLC Mental Health CurrentSince Jun 3, 2024 Accepting new patients
Lifebulb LLC Mental Health CurrentSince Jun 3, 2024 Accepting new patients
Therapy Aligned LLC Addiction (Substance Use Disorder) CurrentSince Apr 23, 2026 Accepting new patients

Locations

3 Lincoln Hwy
Ste 102A
Edison, NJ 08820

400 New Durham Rd
Metuchen, NJ 08840
Phone (732) 482-9829

206 Claremont Ave
Ste 2
Montclair, NJ 07042
Phone (732) 902-2182

505 Main St
Toms River, NJ 08753
Phone (732) 272-0127

Organizations & group practices 4

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": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1235777285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 PARSONAGE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CEDAR AVE",
            "city": "MIDDLESEX",
            "state": "NJ",
            "postal_code": "088462400",
            "telephone_number": "732-560-1011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Woodbridge Ave",
            "address_purpose": "LOCATION",
            "city": "Sewaren",
            "state": "NJ",
            "postal_code": "070771351",
            "country_code": "US",
            "telephone_number": "732-636-1931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Parsonage Rd",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088372429",
            "country_code": "US",
            "telephone_number": "732-204-1635",
            "fax_number": "732-204-1636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHANDNI",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00358500",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06289400",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesex, NJ

Sources for this page

Verify at the official NPI Registry.