Individual provider Active NPI

Anna Veronica Pepe, LCSW

  • Clinical Social Worker
  • Parlin, NJ
National Provider Identifier
1467029363
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05414300 Issued in NJ
Practice address
3010 Bordentown Ave Ste B2
Parlin, NJ 08859-1181
Phone
(908) 208-7519
NPI assigned
Jun 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC05414300 NJ Primary

Addresses

Primary practice location

3010 Bordentown Ave Ste B2
Parlin, NJ 08859-1181

Mailing address

37 Winthrop Dr
Manalapan, NJ 07726-3551
Phone (908) 208-7519

Other practice location 1

37 Winthrop Dr
Manalapan, NJ 07726-3551
Phone (908) 208-7519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05414300NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1467029363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 WINTHROP DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263551",
            "telephone_number": "908-208-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 BORDENTOWN AVE STE B2",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591181",
            "telephone_number": "908-208-7519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Winthrop Dr",
            "address_purpose": "LOCATION",
            "city": "Manalapan",
            "state": "NJ",
            "postal_code": "077263551",
            "country_code": "US",
            "telephone_number": "908-208-7519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEPE",
        "first_name": "ANNA",
        "middle_name": "VERONICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05414300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.