Gerald Deangelis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC00310 Issued in NJ

Practice address

470 Prospect Ave
Suite 207
West Orange, NJ 07052-4153

Phone

(973) 731-6970

Fax

(973) 731-3313

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316967359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 PROSPECT AVE",
            "address_2": "SUITE 207",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524153",
            "telephone_number": "973-731-6970",
            "fax_number": "973-731-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 PROSPECT AVE",
            "address_2": "SUITE 207",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524153",
            "telephone_number": "973-731-6970",
            "fax_number": "973-731-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANGELIS",
        "first_name": "GERALD",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC00310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina B Davitt, APN
• Medhat Dawoud, DMD
• Melissa De Gannes
• Adria De Simone, MS, CRC, LAC, CBIS
• Dia Deangelis
• Diane Rose Dearie, MA
• Deborah a Coy MD LLC
• Deborah R. Spey, LLC
• Edward M Decter, M.D.
• Effie Zantopoulos Deegan, D.M.D.

• Clinical Social Worker in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.