Individual provider Active NPI

Christopher George Nackos, LCSW

  • Clinical Social Worker
  • Atlantic Highlands, NJ
National Provider Identifier
1285836072
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
986 Leonardville Rd
FL 1
Atlantic Highlands, NJ 07716-2713
Phone
(908) 272-2474
Fax
(908) 272-8996
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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 Primary

Addresses

Primary practice location

986 Leonardville Rd
FL 1
Atlantic Highlands, NJ 07716-2713

Mailing address

1415 Church St
Rahway, NJ 07065-3307

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
I20130524000359 NJ Practitioner - Clinical Social Worker 8628216058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Best Practices BhomGroup PAC ID 3072876994, 21 clinicians

Practice addresses (Care Compare)

81 Crooked Stick Rd
Jackson, NJ 08527-4032
Phone (609) 916-6402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Best Practices Bhom Clinical CurrentSince Jun 21, 2022 Accepting new patients

Organizations & group practices 1

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1285836072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 CHURCH ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070653307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 LEONARDVILLE RD",
            "address_2": "FL 1",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077162713",
            "telephone_number": "908-272-2474",
            "fax_number": "908-272-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACKOS",
        "first_name": "CHRISTOPHER",
        "middle_name": "GEORGE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic Highlands, NJ

Sources for this page

Verify at the official NPI Registry.