Individual provider Active NPI

Celeste R Winberry, LCSW

  • Clinical Social Worker
  • Montclair, NJ
National Provider Identifier
1265519961
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01441200 Issued in NJ
Practice address
1 Bay Ave
Mountainside Hospital
Montclair, NJ 07042-4837
Phone
(888) 247-1400
Fax
(973) 290-7585
NPI assigned
Nov 1, 2006
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 44SC01441200 NJ Primary

Addresses

Primary practice location

1 Bay Ave
Mountainside Hospital
Montclair, NJ 07042-4837

Mailing address

95 Mount Kemble Ave
Attn: C. Lampron
Morristown, NJ 07960-5155
Phone (973) 971-4714

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
I20040511001043 NJ Practitioner - Clinical Social Worker 5496744781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Jersey Psychiatry Associates LLCGroup PAC ID 0547324972, 3 clinicians

Practice addresses (Care Compare)

2035 Hamburg Tpke
Suite M
Wayne, NJ 07470-6251
Phone (973) 839-2945

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC01441200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey Psychiatry Associates LLC CurrentSince Nov 4, 2017 Accepting new patients
Nabil El Rafei MD PA PastSince Nov 4, 2017 Accepting new patients
Ahs Hospital Corp. Past Accepting new patients

Locations

2035 Hamburg Tpke
Ste M
Wayne, NJ 07470
Phone (973) 839-2945

Organizations & group practices 3

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265519961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MOUNT KEMBLE AVE",
            "address_2": "ATTN: C. LAMPRON",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605155",
            "telephone_number": "973-971-4714",
            "fax_number": "973-290-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAY AVE",
            "address_2": "MOUNTAINSIDE HOSPITAL",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424837",
            "telephone_number": "888-247-1400",
            "fax_number": "973-290-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINBERRY",
        "first_name": "CELESTE",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01441200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.