Individual provider Active NPI

Joseph Vacchiano, LCSW, LCADC

  • Clinical Social Worker
  • New Brunswick, NJ
National Provider Identifier
1265946941
Registry record updated Nov 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05246900 Issued in NJ
Practice address
303 George St Ste 200
New Brunswick, NJ 08901-2009
Phone
(732) 235-4410
NPI assigned
Nov 17, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00132300
Clinical Social Worker 1041C0700X 44SC05246900 NJ Primary

Addresses

Primary practice location

303 George St Ste 200
New Brunswick, NJ 08901-2009

Mailing address

410 Bowne Rd
Ocean, NJ 07712-3713
Phone (848) 218-0753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05246900NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1265946941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 BOWNE RD",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123713",
            "telephone_number": "848-218-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 GEORGE ST STE 200",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012009",
            "telephone_number": "732-235-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACCHIANO",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "37LC00132300",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05246900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.