Organization Active NPI

Gretel J Lavieri, LCSW LLC

  • Community/Behavioral Health Agency
  • Pennington, NJ
National Provider Identifier
1376081760
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
44SC05196200 Issued in NJ
Legal business name
GRETEL J LAVIERI, LCSW LLC
Practice address
107 Darrow Dr
Pennington, NJ 08534-1809
Phone
(609) 433-6417
NPI assigned
Feb 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gretel J Lavieri, MSW, LCSWNPI 1861936437
Title
Owner
Phone
(609) 433-6417

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 44SC05196200 NJ Primary

Addresses

Primary practice location

107 Darrow Dr
Pennington, NJ 08534-1809

Mailing address

107 Darrow Dr
Pennington, NJ 08534-1809
Phone (609) 433-6417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170320000085 NJ Part B Supplier - Clinic/Group Practice 5698050441 Receives reassigned benefits from 1 practitioner
Practice locations: Pennington, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1376081760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 DARROW DR",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341809",
            "telephone_number": "609-433-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 DARROW DR",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341809",
            "telephone_number": "609-433-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRETEL J LAVIERI, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "LAVIERI",
        "authorized_official_first_name": "GRETEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-433-6417",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05196200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.