Active NPI
Herberth Chacon, LSW
- Social Worker
- Newark, NJ
National Provider Identifier
1295423408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06895700
- Practice address
- 183 S Orange Ave
Newark, NJ 07103-2757 - Phone
- (973) 972-6100
- NPI assigned
- Apr 26, 2023
- Last updated
- Apr 26, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL06895700 | NJ | Primary |
Addresses
Primary practice location
183 S Orange Ave
Newark, NJ 07103-2757
Mailing address
348 Harvard Ave
Hillside, NJ 07205-2005
Phone (908) 764-3360
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06895700 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1295423408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 HARVARD AVE",
"city": "HILLSIDE",
"state": "NJ",
"postal_code": "072052005",
"telephone_number": "908-764-3360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "183 S ORANGE AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032757",
"telephone_number": "973-972-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHACON",
"first_name": "HERBERTH",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-26",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06895700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.