Carrie Lynn Balesterri, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Wall, NJ
NPI 1497053813 · NPPES record last updated May 21, 2026
Key facts
- NPI
- 1497053813
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05360000 (NJ)
- Practice address
- 1540 State Route 138 Ste 208
Wall, NJ 07719-3765 - Phone
- (732) 763-0719
- NPI assigned
- Mar 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Shore Integrated Counseling LLC
Practice addresses (Care Compare)
1540 State Route 138
Suite 208
Wall, NJ 07719-3765
Phone (732) 455-1198
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190710000322 | NJ | Practitioner - Clinical Social Worker | 9931434289 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05360000 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shore Integrated Counseling LLC | Current |
Accepting new patients | |
| Visiting Nurse Association of Central Jersey Community Health Center I | Current |
Accepting new patients | |
| Visiting Nurse Association of Central Jersey Community Health Center I | Current |
Accepting new patients |
Locations
1301 Main St
Asbury Park, NJ 07712
Phone (732) 774-6333
1010 State Route 71
Ste 2A
Spring Lake, NJ 07762
Phone (732) 455-1198
1540 State Route 138
Ste 208
Wall, NJ 07719
Phone (732) 681-9045
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05360000 | NJ | Yes |
Addresses
Primary practice location
1540 State Route 138 Ste 208
Wall, NJ 07719-3765
Mailing address
1341 Bennett LN
Manasquan, NJ 08736-1149
Phone (732) 763-0719
Other providers in Wall, NJ
- Julia Abbate
- Access Dermatology LLC
- Alternative Care, Inc.
- Angels Healthcare, Inc
- Anthony Defazio, Lcadc LLC
- Nicholas Benincasa
- Savji L Bhatiya
- Maryann Bock
- Indira Bollampally
- Bryk Counseling LLC
All providers in Wall, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.