Individual provider Active NPI

Carla Pelosi Mueller I, LCSW

  • Clinical Social Worker
  • Perth Amboy, NJ
National Provider Identifier
1245875210
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05265400 Issued in NJ
Practice address
319 Maple St
Perth Amboy, NJ 08861-4101
Phone
(732) 324-8200
Fax
(732) 826-3549
NPI assigned
Nov 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC05265400 NJ Primary

Addresses

Primary practice location

319 Maple St
Perth Amboy, NJ 08861-4101

Mailing address

31 Salters Farm Rd
Califon, NJ 07830-3420
Phone (917) 750-9956

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
I20200108001287 NJ Practitioner - Clinical Social Worker 2668807264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Charities, Diocese of MetuchenGroup PAC ID 8123011046, 14 clinicians

Practice addresses (Care Compare)

540 Route 22 E
Bridgewater, NJ 08807-2405
Phone (908) 722-1881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Diocese of Metuchen Single Specialty CurrentSince Dec 9, 2019 Accepting new patients
Catholic Charities, Diocese of Metuchen Single Specialty CurrentSince Dec 9, 2019 Accepting new patients
Catholic Charities, Diocese of Metuchen Single Specialty Current Accepting new patients

Locations

540 US Highway 22
Bridgewater, NJ 08807
Phone (908) 333-2297

6 Park Ave
Flemington, NJ 08822
Phone (908) 782-7905

319 Maple St
Perth Amboy, NJ 08861
Phone (732) 324-8200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1245875210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SALTERS FARM RD",
            "city": "CALIFON",
            "state": "NJ",
            "postal_code": "078303420",
            "telephone_number": "917-750-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 MAPLE ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614101",
            "telephone_number": "732-324-8200",
            "fax_number": "732-826-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "CARLA",
        "middle_name": "PELOSI",
        "name_suffix": "I",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05265400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

Verify at the official NPI Registry.