Individual provider Active NPI

Irene Garcia

  • Clinical Social Worker
  • Nutley, NJ
National Provider Identifier
1518409226
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
169 Chestnut St
Nutley, NJ 07110-2311
Phone
(973) 667-1884
NPI assigned
Nov 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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 Primary

Addresses

Primary practice location

169 Chestnut St
Nutley, NJ 07110-2311

Mailing address

169 Chestnut St
Nutley, NJ 07110-2311

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
I20250109002151 NJ Practitioner - Clinical Social Worker 3274061825 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nutley Family Service Bureau, Inc.Group PAC ID 4880866482, 5 clinicians
Lifebulb LLCGroup PAC ID 2062881162, 97 clinicians

Practice addresses (Care Compare)

169 Chestnut St
Nutley, NJ 07110-2311
Phone (973) 667-1884

505 Main St
Toms River, NJ 08753-7443
Phone (732) 272-0127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nutley Family Service Bureau, Inc. CurrentSince Jun 10, 2025 Accepting new patients
Lifebulb LLC CurrentSince Nov 8, 2024 Accepting new patients
Thrive Counseling LLC CurrentSince Nov 8, 2024 Accepting new patients

Locations

3 Lincoln Hwy
Ste 102A
Edison, NJ 08820

169 Chestnut St
Nutley, NJ 07110
Phone (973) 542-8276

155 Chestnut St
Nutley, NJ 07110
Phone (973) 641-3458

505 Main St
Toms River, NJ 08753
Phone (732) 272-0127

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1518409226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 CHESTNUT ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 CHESTNUT ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102311",
            "telephone_number": "973-667-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "IRENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-11",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

Verify at the official NPI Registry.