Individual provider Active NPI

Priscilla J. Carmona, LCSW

  • Clinical Social Worker
  • Jersey City, NJ
National Provider Identifier
1306524921
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06233400 Issued in NJ
Practice address
638 Newark Ave
Jersey City, NJ 07306-2306
Phone
(201) 893-6397
NPI assigned
Jul 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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 44SC06233400 NJ Primary

Addresses

Primary practice location

638 Newark Ave
Jersey City, NJ 07306-2306

Mailing address

401 Wood Ridge Ave # B
Wood Ridge, NJ 07075-1531
Phone (201) 893-6397

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
I20230907002150 NJ Practitioner - Clinical Social Worker 4486018561 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Bergen Mental Healthcare Inc.Group PAC ID 0345131272, 25 clinicians

Practice addresses (Care Compare)

120 Chestnut St
Ridgewood, NJ 07450-2504
Phone (201) 444-3550

Merit-based Incentive Payment System (MIPS)

Final score
96.24 of 100Reported as group
Quality
81.01
Improvement activities
40
Cost
88.95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Scores Reentry Inc Clinical CurrentSince Jul 9, 2023 Accepting new patients
Supportive Care Psychology of NJ PC CurrentSince Jul 1, 2023 Accepting new patients
Institute for Peace and Transformative Healing a NJ Nonprofit Corporat Current Accepting new patients
Rios and Associates Therapeutic Solutions, LLC Clinical CurrentSince Jun 19, 2023 Accepting new patients

Locations

101 N Grove St
East Orange, NJ 07017
Phone (973) 672-1700

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

638 Newark Ave
Jersey City, NJ 07306
Phone (201) 216-0197

560 Berkeley Ave
Orange, NJ 07050
Phone (973) 672-6500

Organizations & group practices 5

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": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1306524921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WOOD RIDGE AVE # B",
            "city": "WOOD RIDGE",
            "state": "NJ",
            "postal_code": "070751531",
            "telephone_number": "201-893-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 NEWARK AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062306",
            "telephone_number": "201-893-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMONA",
        "first_name": "PRISCILLA",
        "middle_name": "J.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06233400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.