Individual provider Active NPI

Brande Leigh Lauretta

  • Clinical Social Worker
  • New Milford, NJ
National Provider Identifier
1265040182
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06336200 Issued in NJ
Practice address
287 Reichelt Rd Apt B
New Milford, NJ 07646-5306
Phone
(973) 800-7802
NPI assigned
Jul 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 44SC06336200 NJ Primary

Addresses

Primary practice location

287 Reichelt Rd Apt B
New Milford, NJ 07646-5306

Mailing address

287 Reichelt Rd Apt B
New Milford, NJ 07646-5306

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
I20240702002508 NJ Practitioner - Clinical Social Worker 3476097338 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Care Plus NJ, Inc. Current Accepting new patients
Care Plus NJ, Inc CurrentSince May 10, 2024 Accepting new patients

Locations

610 Valley Health Plz
Paramus, NJ 07652
Phone (201) 797-2660

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": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1265040182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 REICHELT RD APT B",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076465306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 REICHELT RD APT B",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076465306",
            "telephone_number": "973-800-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURETTA",
        "first_name": "BRANDE",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06336200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, NJ

Sources for this page

Verify at the official NPI Registry.