Individual provider Active NPI

Sherrill Welcome, LCSW

  • Clinical Social Worker
  • South Orange, NJ
National Provider Identifier
1457068264
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06159600 Issued in NJ
Practice address
462 Irvington Ave
South Orange, NJ 07079-2540
Phone
(973) 879-0693
NPI assigned
Nov 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL05782000 NJ
Clinical Social Worker 1041C0700X 44SC06159600 NJ Primary

Addresses

Primary practice location

462 Irvington Ave
South Orange, NJ 07079-2540

Mailing address

462 Irvington Ave
South Orange, NJ 07079-2540
Phone (973) 879-0693

Other practice location 1

102 Prospect St
South Orange, NJ 07079-2112
Phone (973) 762-6909 ext. 213

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
I20230329000522 NJ Practitioner - Clinical Social Worker 6002280302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

462 Irvington Ave
South Orange, NJ 07079-2540
Phone (973) 879-0693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05782000NJMDSocial Worker
44SC06159600NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Welcome Wellness & Therapy Services LLC Clinical CurrentSince Mar 13, 2024 Accepting new patients

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": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1457068264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 IRVINGTON AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792540",
            "telephone_number": "973-879-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 IRVINGTON AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792540",
            "telephone_number": "973-879-0693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Prospect St",
            "address_purpose": "LOCATION",
            "city": "South Orange",
            "state": "NJ",
            "postal_code": "070792112",
            "country_code": "US",
            "telephone_number": "973-762-6909 x213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCOME",
        "first_name": "SHERRILL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05782000",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06159600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Orange, NJ

Sources for this page

Verify at the official NPI Registry.