Camille V. Pazienza, LCSW, MA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05254500 Issued in NJ

Practice address

349 Franklin Ave
Suite 203
Nutley, NJ 07110-4004

Phone

(973) 715-6315

Fax

(973) 662-1185

NPI assigned

May 17, 2007

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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 and National Provider Directory roles.

• Senior Care Therapy LLC

  • Clinical Psychologist
  • Passaic, NJ
  • NPI 1285898098
  Medicare reassignment NPD

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1376750463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 NORTH RD",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101302",
            "telephone_number": "973-715-6315",
            "fax_number": "973-662-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 FRANKLIN AVE",
            "address_2": "SUITE 203",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071104004",
            "telephone_number": "973-715-6315",
            "fax_number": "973-662-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZIENZA",
        "first_name": "CAMILLE",
        "middle_name": "V.",
        "name_prefix": "Ms.",
        "credential": "LCSW, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05254500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kavita Patel, P.T.
• Narendrakumar Patel
• Sama Patel, PA
• Samira Patel, M.O.T
• Paul Dell'Aquila, M.D., P.C.
• Jill Garripoli Pedalino, D.O.
• Linda Christina Peeters
• Cleotilde C. Pelgone, PHYSICAL THERAPIST
• Nicholas Gerard Pellicoro, DPM
• Jessica Peralta, M.S. CCC-SLP

• Clinical Social Worker in Nutley, NJ
• Providers in Nutley, 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 Aug 5, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.