Individual provider Active NPI

Donna Comerford, LCSW

  • Clinical Social Worker
  • Toms River, NJ
National Provider Identifier
1346308053
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05317800 Issued in NJ
Practice address
1201 Route 37 E
Suite 8
Toms River, NJ 08753-5728
Phone
(732) 270-2945
Fax
(732) 367-8242
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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 44SC05317800 NJ Primary

Addresses

Primary practice location

1201 Route 37 E
Suite 8
Toms River, NJ 08753-5728

Mailing address

1201 Route 37 E
Suite 8
Toms River, NJ 08753-5728
Phone (732) 270-2945

Other identifiers 1

IdentifierTypeStateIssuer
0029807MedicaidNJ

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
I20070309000078 NJ Practitioner - Clinical Social Worker 7113020371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

700 Airport Rd
Lakewood, NJ 08701-5907
Phone (732) 367-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05317800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Behavioral Health of New Jersey, Inc CurrentSince May 23, 2007 Accepting new patients
Preferred Behavioral Health of New Jersey, Inc. CurrentSince May 23, 2007 Accepting new patients
Thomas Chemris, LCSW,LLC Past Accepting new patients

Locations

700 Airport Rd
Lakewood, NJ 08701
Phone (732) 458-1700

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236902400000",
    "number": "1346308053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 ROUTE 37 E",
            "address_2": "SUITE 8",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087535728",
            "telephone_number": "732-270-2945",
            "fax_number": "732-367-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 ROUTE 37 E",
            "address_2": "SUITE 8",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087535728",
            "telephone_number": "732-270-2945",
            "fax_number": "732-367-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMERFORD",
        "first_name": "DONNA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2009-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05317800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0029807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.