Active NPI
Carolyn Levi, LCSW
- Clinical Social Worker
- Passaic, NJ
National Provider Identifier
1295301695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC06007800
- Practice address
- 110 Main Ave
Passaic, NJ 07055-4427 - Phone
- (973) 777-7638
- Fax
- (973) 777-9311
- NPI assigned
- May 27, 2021
- Last updated
- Jan 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC06007800 | NJ | Primary |
Addresses
Primary practice location
110 Main Ave
Passaic, NJ 07055-4427
Mailing address
36 Brockton Rd
Spring Valley, NY 10977-2124
Phone (917) 273-8592
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
110 Main Ave
Passaic, NJ 07055-4427
Phone (973) 777-7638
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Family Service & Childrens Center of Clifton-Passaic, Inc | Clinical | Current | Accepting new patients |
Locations
110 Main Ave
Passaic, NJ 07055
Phone (973) 777-0256
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jewish Family Service
- Clinical Social Worker
- Passaic, NJ
- NPI 1073885026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1295301695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 BROCKTON RD",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109772124",
"telephone_number": "917-273-8592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 MAIN AVE",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070554427",
"telephone_number": "973-777-7638",
"fax_number": "973-777-9311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVI",
"first_name": "CAROLYN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-27",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06007800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.