Individual provider Active NPI

Lillian Elizabeth Espindola, LCSW

  • Clinical Social Worker
  • Lakewood, NJ
National Provider Identifier
1457499733
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04872800 Issued in NJ
Practice address
681 River Ave
Ste 2E
Lakewood, NJ 08701-5229
Phone
(732) 901-0035
NPI assigned
Feb 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 44SC04872800 NJ Primary

Addresses

Primary practice location

681 River Ave
Ste 2E
Lakewood, NJ 08701-5229

Mailing address

108 Linden Ave
Verona, NJ 07044-2202
Phone (732) 901-0035

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
I20070712000017 NJ Practitioner - Clinical Social Worker 5799885307 Reassigns benefits to 1 organization
Practice locations: Bloomfield, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC04872800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Behavioral Healthcare, Inc. Clinical CurrentSince Oct 6, 2020 Accepting new patients
Comprehensive Geriatric Care LLC Clinical Past Accepting new patients
Advanced Behavioral Health Past Accepting new patients

Locations

516 Valley Brook Ave
Lyndhurst, NJ 07071
Phone (201) 935-3322

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457499733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LINDEN AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442202",
            "telephone_number": "732-901-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 RIVER AVE",
            "address_2": "STE 2E",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015229",
            "telephone_number": "732-901-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINDOLA",
        "first_name": "LILLIAN",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04872800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.