Individual provider Active NPI

Cara F Paolillo, LCSW

  • Clinical Social Worker
  • Brick, NJ
National Provider Identifier
1295183473
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05623800 Issued in NJ
Practice address
445 Brick Blvd Ste 204
Brick, NJ 08723-6079
Phone
(732) 977-9838
NPI assigned
May 29, 2016
Last updated
Sep 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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 44SC05623800 NJ Primary

Addresses

Primary practice location

445 Brick Blvd Ste 204
Brick, NJ 08723-6079

Mailing address

445 Brick Blvd Ste 204
Brick, NJ 08723-6079
Phone (732) 977-9838

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
I20160620001226 NJ Practitioner - Clinical Social Worker 9335430578 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocean Mental Health Services IncGroup PAC ID 7416943709, 35 clinicians

Practice addresses (Care Compare)

160 Route 9
Bayville, NJ 08721-1229
Phone 7323491977128

40 Bey Lea Rd
BLDG a
Toms River, NJ 08753-2989
Phone 7323495550128

445 Brick Blvd
Suite 204
Brick, NJ 08723-6079
Phone (732) 977-9238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Behavioral Health, LLC Clinical CurrentSince Jun 5, 2017 Accepting new patients
Ocean Mental Health Services Inc CurrentSince Jun 3, 2016 Accepting new patients

Locations

160 US Highway 9
Bayville, NJ 08721
Phone (732) 349-1977

445 Brick Blvd
Ste 204
Brick, NJ 08723
Phone (732) 477-7740

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1464480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1295183473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 BRICK BLVD STE 204",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236079",
            "telephone_number": "732-977-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 BRICK BLVD STE 204",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236079",
            "telephone_number": "732-977-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLILLO",
        "first_name": "CARA",
        "middle_name": "F",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-29",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05623800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.