Individual provider Active NPI

Kasi Victoria Legrand, LCSW

  • Clinical Social Worker
  • Woodbridge, NJ
National Provider Identifier
1447896139
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05680100 Issued in NJ
Practice address
300 Kimball St Ste 106
Woodbridge, NJ 07095-2506
Phone
(732) 218-8600
NPI assigned
Nov 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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 44SC05680100 NJ Primary

Addresses

Primary practice location

300 Kimball St Ste 106
Woodbridge, NJ 07095-2506

Mailing address

300 Kimball St Ste 106
Woodbridge, NJ 07095-2506

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL insightscounselingcenterpsy@gmail.com
CONNECT URL insightscounselingcenterpsy@gmail.com

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
I20230530000014 NJ Practitioner - Clinical Social Worker 8729445275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Kimball St
Suite 106
Woodbridge, NJ 07095-2506
Phone (732) 609-0169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05680100NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Tortorello Gilligan MSW LCSW LLC Clinical CurrentSince Mar 1, 2023 Accepting new patients

Locations

300 Kimball St
Ste 106
Woodbridge, NJ 07095
Phone (732) 218-8600

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": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1447896139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 KIMBALL ST STE 106",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070952506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 KIMBALL ST STE 106",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070952506",
            "telephone_number": "732-218-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGRAND",
        "first_name": "KASI",
        "middle_name": "VICTORIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05680100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "insightscounselingcenterpsy@gmail.com",
            "affiliation": "N",
            "address_1": "300 Kimball St Ste 106",
            "city": "Woodbridge",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070952506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "insightscounselingcenterpsy@gmail.com",
            "affiliation": "N",
            "address_1": "300 Kimball St Ste 106",
            "city": "Woodbridge",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070952506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodbridge, NJ

Sources for this page

Verify at the official NPI Registry.