Organization Active NPI

Caren E Grande LLC

  • Clinical Social Worker
  • Middletown, NJ
National Provider Identifier
1275809659
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04683500NJ Issued in NJ
Legal business name
CAREN E GRANDE LLC
Practice address
1385 Highway 35 Ste 274
Middletown, NJ 07748-2012
Phone
(480) 381-2233
NPI assigned
Mar 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Authorized official

Name
Caren E Grande, LCSWNPI 1215067764
Title
Owner
Phone
(732) 778-6468

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC04683500NJ NJ Primary

Addresses

Primary practice location

1385 Highway 35 Ste 274
Middletown, NJ 07748-2012

Mailing address

1385 Highway 35 Ste 274
Middletown, NJ 07748-2012
Phone (732) 778-6468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150604000938 NJ Part B Supplier - Clinic/Group Practice 6709107642 Receives reassigned benefits from 1 practitioner
Practice locations: Middletown, NJ

National Provider Directory

National Provider Directory

Locations

119 Maple Ave
#204
Red Bank, NJ 07701
Phone (732) 778-6468

119 Maple Ave
Ste 204
Red Bank, NJ 07701
Phone (732) 221-4074

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1275809659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 HIGHWAY 35 STE 274",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482012",
            "telephone_number": "732-778-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 HIGHWAY 35 STE 274",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482012",
            "telephone_number": "480-381-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREN E GRANDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2021-11-12",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "GRANDE",
        "authorized_official_first_name": "CAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-778-6468",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04683500NJ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.