Individual provider Active NPI

Carolyn Joyce Receveur, LCSW

  • Clinical Social Worker
  • Red Bank, NJ
National Provider Identifier
1437664802
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04741400 Issued in NJ
Practice address
104-110 Maple Ave.
Red Bank, NJ 07701
Phone
(732) 865-4182
Fax
(848) 300-2646
NPI assigned
Dec 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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 44SC04741400 NJ Primary

Addresses

Primary practice location

104-110 Maple Ave.
Red Bank, NJ 07701

Mailing address

104 Maple Ave # 110
Red Bank, NJ 07701-1716
Phone (732) 865-4182

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
I20260428002635 NJ Practitioner - Clinical Social Worker 2961979828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

104 Mape Ave
Suite 110
Red Bank, NJ 07701-1716
Phone (732) 865-4182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC04741400NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Consulting LLC CurrentSince Dec 28, 2025 Accepting new patients

Locations

104 Maple Ave
#110
Red Bank, NJ 07701
Phone (732) 219-1900

Organizations & group practices 1

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": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1437664802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MAPLE AVE # 110",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011716",
            "telephone_number": "732-865-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104-110 MAPLE AVE.",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-865-4182",
            "fax_number": "848-300-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECEVEUR",
        "first_name": "CAROLYN",
        "middle_name": "JOYCE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04741400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.