Individual provider Active NPI

Brandyce Alexsis Lombardo, MSW, LCSW

  • Clinical Social Worker
  • Hamilton, NJ
National Provider Identifier
1366882771
Registry record updated Jun 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05547300 Issued in NJ
Practice address
5 Coronet CT
Hamilton, NJ 08619-1928
Phone
(908) 229-2471
NPI assigned
Jun 29, 2013
Last updated
Jun 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2013

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 44SC05547300 NJ Primary

Addresses

Primary practice location

5 Coronet CT
Hamilton, NJ 08619-1928

Mailing address

5 Coronet CT
Hamilton, NJ 08619-1928
Phone (908) 229-2471

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
I20131009001570 NJ Practitioner - Clinical Social Worker 0143454991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifebulb LLCGroup PAC ID 2062881162, 97 clinicians

Practice addresses (Care Compare)

505 Main St
Toms River, NJ 08753-7443
Phone (732) 272-0127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Oct 16, 2024 Accepting new patients
New Jersey Behavioral Health P.C CurrentSince Sep 1, 2022 Accepting new patients
Lifebulb LLC CurrentSince Oct 16, 2024 Accepting new patients
PHC of Buffalo Grove Clinical Psychology Past Accepting new patients

Locations

150 Morristown Rd
Ste 108
Bernardsville, NJ 07924
Phone (844) 259-2366

3 Lincoln Hwy
Ste 102A
Edison, NJ 08820

505 Main St
Toms River, NJ 08753
Phone (732) 272-0127

88 Princeton Hightstown Rd
Ste 202
West Windsor, NJ 08550
Phone (609) 497-3300

Organizations & group practices 4

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": "1372464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372464000000",
    "number": "1366882771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CORONET CT",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191928",
            "telephone_number": "908-229-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CORONET CT",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191928",
            "telephone_number": "908-229-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBARDO",
        "first_name": "BRANDYCE",
        "middle_name": "ALEXSIS",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-29",
        "last_updated": "2013-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05547300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.