Patricia K Ervin, LCSW, LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00267100 Issued in NJ

Practice address

931 W Park Ave
Ocean, NJ 07712-7207

Phone

(732) 493-8080

Fax

(732) 493-8810

NPI assigned

Nov 29, 2007

Last updated

Nov 29, 2007By the provider in NPPES

Sex

Female

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, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mindcare Therapeutics LLCGroup PAC ID 6305332438, 5 clinicians

Elder Life Management LLCGroup PAC ID 1153317508, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Elder Life Management LLC

  dba Judith S Parnes LLC

  • Clinical Social Worker
  • Tinton Falls, NJ
  • NPI 1891881280
  Medicare reassignment Care Compare group NPD
• Mindcare Therapeutics LLC

  • Clinical Social Worker
  • Jackson, NJ
  • NPI 1891660866
  Medicare reassignment Care Compare group NPD
• Premier Care LLC Dba Elder Life Home Care LLC

  • Home Health Agency
  • Tinton Falls, NJ
  • NPI 1548769326
  NPD (past)

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1336321504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 W PARK AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077127207",
            "telephone_number": "732-493-8080",
            "fax_number": "732-493-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 W PARK AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077127207",
            "telephone_number": "732-493-8080",
            "fax_number": "732-493-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "PATRICIA",
        "middle_name": "K",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00267100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Elice
• Elite Mobility LLC
• Mohamed Ashraf Elsawaf, MD
• Annette Emm
• Envisioned Nature
• Ethel and Raphael Pediatrics
• Evan Adler, DPM
• Frederick Chaim Ezon, M.D.
• Nicole Farkouh
• Joel Patrick Fechisin, MD

• Clinical Social Worker in Ocean, NJ
• Providers in Ocean, 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 Nov 29, 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.