Patricia L Packard, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05379200 Issued in NJ

Practice address

105 Main St
Newton, NJ 07860-2037

Phone

(973) 600-9147

Fax

(973) 579-3277

NPI assigned

Mar 24, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bridgeway Behavioral Health ServicesGroup PAC ID 1658699715, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bridgeway Behavioral Health Services

  • Community/Behavioral Health Agency
  • Elizabeth, NJ
  • NPI 1639294879
  Medicare reassignment Care Compare group NPD
• Bridgeway Behavioral Health Services

  • Community/Behavioral Health Agency
  • Union, NJ
  • NPI 1386781920
  NPD
• Behavioral Healthcare LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Newton, NJ
  • NPI 1003824624
  NPD (past)

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1457675142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MAIN ST",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602037",
            "telephone_number": "973-600-9147",
            "fax_number": "973-579-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MAIN ST",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602037",
            "telephone_number": "973-600-9147",
            "fax_number": "973-579-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKARD",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05379200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxine Beth Ollove, PH.D.
• Anthony C Oparaji, MD
• Optical Center Doctors Office PA
• Marissa Leigh Ott, NP
• Paul J. Owens, M.D.
• Ambar S Pagan, APN
• Barbara Paino
• Palliative Medicine Associates LLC
• Robert J Pampin, D.O.
• Theresa Papagna

• Clinical Social Worker in Newton, NJ
• Providers in Newton, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.