Individual provider Active NPI

Darryl Donlin, LCSW

  • Clinical Social Worker
  • West Caldwell, NJ
National Provider Identifier
1326617416
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00767200 Issued in NJ
Practice address
21 Evergreen Rd
West Caldwell, NJ 07006-7506
Phone
(973) 722-7520
NPI assigned
Jun 22, 2021
Last updated
Sep 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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 44SC00767200 NJ Primary

Addresses

Primary practice location

21 Evergreen Rd
West Caldwell, NJ 07006-7506

Mailing address

21 Evergreen Rd
West Caldwell, NJ 07006-7506
Phone (973) 722-7520

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
I20230511000566 NJ Practitioner - Clinical Social Worker 2466818752 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vicki Barnett Psy D PC CurrentSince Mar 1, 2023 Accepting new patients

Locations

330 9th St
Jersey City, NJ 07302
Phone (201) 239-8501

525 Monmouth St
Jersey City, NJ 07302
Phone (201) 653-8800

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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1326617416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 EVERGREEN RD",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067506",
            "telephone_number": "973-722-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 EVERGREEN RD",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067506",
            "telephone_number": "973-722-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONLIN",
        "first_name": "DARRYL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00767200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

Verify at the official NPI Registry.