Active NPI
Lorrelle Daniel
- Social Worker
- Jersey City, NJ
National Provider Identifier
1386331411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 122489
- Practice address
- 197 Martin Luther King Jr Dr
Top FL
Jersey City, NJ 07305 - Phone
- (718) 576-0902
- NPI assigned
- Apr 19, 2023
- Last updated
- Feb 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 122489 | NY | Primary |
Addresses
Primary practice location
197 Martin Luther King Jr Dr
Top FL
Jersey City, NJ 07305
Mailing address
197 Martin Luther King Jr Dr
Top FL
Jersey City, NJ 07305
Phone (718) 576-0902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122489 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708646400000",
"number": "1386331411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 MARTIN LUTHER KING JR DR",
"address_2": "TOP FL",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07305",
"telephone_number": "718-576-0902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 MARTIN LUTHER KING JR DR",
"address_2": "TOP FL",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07305",
"telephone_number": "718-576-0902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "LORRELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-19",
"last_updated": "2024-02-23",
"certification_date": "2024-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "122489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.