Individual provider Active NPI

Carrie Lynn Balesterri, MSW, LCSW

  • Clinical Social Worker
  • Wall, NJ
National Provider Identifier
1497053813
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05360000 Issued in NJ
Practice address
1540 State Route 138 Ste 208
Wall, NJ 07719-3765
Phone
(732) 763-0719
NPI assigned
Mar 9, 2011
Last updated
May 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

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 44SC05360000 NJ Primary

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

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
I20190710000322 NJ Practitioner - Clinical Social Worker 9931434289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 9032529904, 6 clinicians

Practice addresses (Care Compare)

1540 State Route 138
Suite 208
Wall, NJ 07719-3765
Phone (732) 455-1198

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Jun 17, 2019 Accepting new patients
Shore Integrated Counseling LLC CurrentSince Aug 1, 2020 Accepting new patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Jun 17, 2019 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

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": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1497053813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 BENNETT LN",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361149",
            "telephone_number": "732-763-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 STATE ROUTE 138 STE 208",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "077193765",
            "telephone_number": "732-763-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALESTERRI",
        "first_name": "CARRIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-09",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05360000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall, NJ

Sources for this page

Verify at the official NPI Registry.