Individual provider Active NPI

Cassandra Marie Repert

  • Clinical Social Worker
  • Edison, NJ
National Provider Identifier
1245983592
Registry record updated Apr 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06467000 Issued in NJ
Practice address
7 Lincoln Hwy Ste 224
Edison, NJ 08820-3965
Phone
(732) 561-5230
NPI assigned
Jan 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06755300 NJ
Clinical Social Worker 1041C0700X 44SC06467000 NJ Primary

Addresses

Primary practice location

7 Lincoln Hwy Ste 224
Edison, NJ 08820-3965

Mailing address

21 Columbia Dr
Tinton Falls, NJ 07724-9714
Phone (732) 614-6143

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
I20250716004397 NJ Practitioner - Clinical Social Worker 7214442219 Reassigns benefits to 1 organization

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
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

7 Lincoln Hwy
Suite 224
Edison, NJ 08820-3965
Phone (732) 479-4763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06755300NJMDSocial Worker
44SC06467000NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince May 8, 2025 Accepting new patients
Lifebulb LLC PastSince Oct 16, 2022 Accepting new patients

Locations

7 Lincoln Hwy
Ste 224
Edison, NJ 08820
Phone (732) 479-4763

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

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

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": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743897600000",
    "number": "1245983592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 COLUMBIA DR",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077249714",
            "telephone_number": "732-614-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 LINCOLN HWY STE 224",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203965",
            "telephone_number": "732-561-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPERT",
        "first_name": "CASSANDRA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2025-04-06",
        "certification_date": "2025-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06755300",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06467000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.