Anthony Dimitrion, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05864000 Issued in NJ

Practice address

589 Franklin Tpke Ste 8a
Ridgewood, NJ 07450-1928

Phone

(609) 401-2983

NPI assigned

Aug 29, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Olive Branch Therapy Group

  • Community/Behavioral Health Agency
  • East Brunswick, NJ
  • NPI 1104294446
  NPD (past)

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1598211617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "589 FRANKLIN TPKE STE 8A",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 FRANKLIN TPKE STE 8A",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501928",
            "telephone_number": "609-401-2983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Van Reipen Ave",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073062806",
            "country_code": "US",
            "telephone_number": "201-418-8601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1894 Walton Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104536018",
            "country_code": "US",
            "telephone_number": "718-583-2508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMITRION",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-29",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "098451",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05864000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giavanna Desimone, LAT, ATC
• Chad M Deyoung, M.D.
• Wilhelmina Amelia Difilippo, LSW
• Louise Digia Levenshus, DC
• Patricia Dignam
• Thomas Lee Dimitry, PH.D.
• Joseph John Diorio Jr., M.D.
• Marisa Distefano, LPC
• Ruthellen Grace Dixon, OTR
• Ismar Dizdarevic, M.D.

• Clinical Social Worker in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.