Individual provider Active NPI

Lauren Emerson Simicich, LCSW, LCADC

  • Social Worker
  • Allentown, NJ
National Provider Identifier
1326590571
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06042700 Issued in NJ
Practice address
112 Route 526
Allentown, NJ 08501-2015
Phone
(609) 807-8395
NPI assigned
Nov 3, 2016
Last updated
Jan 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06042700 NJ Primary

Addresses

Primary practice location

112 Route 526
Allentown, NJ 08501-2015

Mailing address

112 Route 526
Allentown, NJ 08501-2015
Phone (732) 512-8766

Other practice location 1

3 Corbett Way
Eatontown, NJ 07724
Phone (855) 465-4019

Other practice location 2

4065 Quakerbridge Rd
Princeton Junction, NJ 08550-5243
Phone (609) 651-4001 ext. 119

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
I20211102000357 NJ Practitioner - Clinical Social Worker 8325436934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 Route 526
Allentown, NJ 08501-2015
Phone (732) 512-8766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06042700NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren Simicich LCSW CurrentSince Jun 21, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1326590571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ROUTE 526",
            "city": "ALLENTOWN",
            "state": "NJ",
            "postal_code": "085012015",
            "telephone_number": "732-512-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ROUTE 526",
            "city": "ALLENTOWN",
            "state": "NJ",
            "postal_code": "085012015",
            "telephone_number": "609-807-8395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Corbett Way",
            "address_purpose": "LOCATION",
            "city": "Eatontown",
            "state": "NJ",
            "postal_code": "07724",
            "country_code": "US",
            "telephone_number": "855-465-4019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4065 Quakerbridge Rd",
            "address_purpose": "LOCATION",
            "city": "Princeton Junction",
            "state": "NJ",
            "postal_code": "085505243",
            "country_code": "US",
            "telephone_number": "609-651-4001 x119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMICICH",
        "first_name": "LAUREN",
        "middle_name": "EMERSON",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-03",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06042700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, NJ

Sources for this page

Verify at the official NPI Registry.