Individual provider Active NPI

Danielle Caswell, LSW

  • Clinical Social Worker
  • East Brunswick, NJ
National Provider Identifier
1386109254
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SL06491100 Issued in NJ
Practice address
6 Cornwall CT Ste B
East Brunswick, NJ 08816-3347
Phone
(732) 955-4141
NPI assigned
Feb 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 44SL06491100 NJ Primary

Addresses

Primary practice location

6 Cornwall CT Ste B
East Brunswick, NJ 08816-3347

Mailing address

6 Cornwall CT Ste B
East Brunswick, NJ 08816-3347
Phone (732) 955-4141

Other practice location 1

500 N Bridge St
Bridgewater, NJ 08807-2135
Phone (908) 725-2800 ext. 3085

Other identifiers 1

IdentifierTypeStateIssuer
0023701MedicaidNJ

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
I20221029000085 NJ Practitioner - Clinical Social Worker 5395112619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vimax LLCGroup PAC ID 7416273644, 21 clinicians

Practice addresses (Care Compare)

6 Cornwall CT
Suite B
East Brunswick, NJ 08816-3347
Phone (732) 955-4141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06491100NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vimax LLC CurrentSince Oct 11, 2022 Accepting new patients
Vimax LLC CurrentSince Oct 11, 2022 Accepting new patients

Locations

6 Cornwall Ct
Ste B
East Brunswick, NJ 08816
Phone (732) 955-4141

Organizations & group practices 2

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": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1386109254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CORNWALL CT STE B",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163347",
            "telephone_number": "732-955-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CORNWALL CT STE B",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163347",
            "telephone_number": "732-955-4141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N Bridge St",
            "address_purpose": "LOCATION",
            "city": "Bridgewater",
            "state": "NJ",
            "postal_code": "088072135",
            "country_code": "US",
            "telephone_number": "908-725-2800 x3085",
            "fax_number": "908-704-1790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASWELL",
        "first_name": "DANIELLE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06491100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.