Active NPI
Cara Flyge, LCSW
- Clinical Social Worker
- Lawrenceville, NJ
National Provider Identifier
1336714898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC06317500
- Practice address
- 4 Princess Rd Ste 206
Lawrenceville, NJ 08648-2322 - Phone
- (609) 482-3701
- Fax
- (609) 482-3702
- NPI assigned
- May 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC06317500 | NJ | Primary |
Addresses
Primary practice location
4 Princess Rd Ste 206
Lawrenceville, NJ 08648-2322
Mailing address
4 Princess Rd Ste 206
Lawrenceville, NJ 08648-2322
Phone (609) 482-3701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8963 | Other | NJ | DMHAS- MH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | info@lifebacknj.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC06317500 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1336714898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 PRINCESS RD STE 206",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "086482322",
"telephone_number": "609-482-3701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 PRINCESS RD STE 206",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "086482322",
"telephone_number": "609-482-3701",
"fax_number": "609-482-3702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYGE",
"first_name": "CARA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-26",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06317500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMHAS- MH",
"identifier": "8963",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "info@lifebacknj.com",
"affiliation": "N",
"endpointDescription": "Mental Health",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4 Princess Rd Ste 206",
"city": "Lawrenceville",
"state": "NJ",
"country_code": "US",
"postal_code": "086482322",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lawrenceville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.