Individual provider Active NPI

Jaimie Helen Miraglia, LCSW, LCADC

  • Social Worker
  • New Brunswick, NJ
National Provider Identifier
1528547783
Registry record updated Dec 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06397800 Issued in NJ
Practice address
317 George St
New Brunswick, NJ 08901-2008
Phone
(732) 640-8128
NPI assigned
Aug 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00325500 NJ
Social Worker 104100000X 44SL06397800 NJ Primary

Addresses

Primary practice location

317 George St
New Brunswick, NJ 08901-2008

Mailing address

4 Naricon PL
East Brunswick, NJ 08816-1121
Phone (908) 616-1503

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
I20231123000068 NJ Practitioner - Clinical Social Worker 3375991763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

671 Hoes LN W
RM C205
Piscataway, NJ 08854-8021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00325500NJMDAddiction (Substance Use Disorder) Counselor
44SL06397800NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health - Behavioral Health Current Accepting new patients
Rutgers Health - Behavioral Health CurrentSince Oct 10, 2023 Accepting new patients

Locations

303 George St
Fl 2
New Brunswick, NJ 08901
Phone (732) 235-6800

183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0004

671 Hoes Ln W
Rm C205
Piscataway, NJ 08854
Phone (732) 235-4040

671 Hoes Ln W
Rm D3381
Piscataway, NJ 08854
Phone (732) 235-3289

Organizations & group practices 2

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": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735430400000",
    "number": "1528547783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 NARICON PL",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161121",
            "telephone_number": "908-616-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 GEORGE ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012008",
            "telephone_number": "732-640-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRAGLIA",
        "first_name": "JAIMIE",
        "middle_name": "HELEN",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2024-12-29",
        "certification_date": "2024-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00325500",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06397800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.