Anna Wilverding

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

44SL06474700 Issued in NJ

Practice address

285 E Main St
Somerville, NJ 08876-3005

Phone

(908) 295-2007

NPI assigned

May 29, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stacey Nicholas LLCGroup PAC ID 9931503406, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stacey Nicholas LLC

  dba Inner Light Counseling

  • Clinical Social Worker
  • Somerville, NJ
  • NPI 1376843615

  Professional

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1609434380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SWARTSWOOD RD APT 74",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078601143",
            "telephone_number": "973-219-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 E MAIN ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088763005",
            "telephone_number": "908-295-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILVERDING",
        "first_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "44SL06474700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane White, LPC
• Olivia Wierciszewski, PHARMD
• Robert S Wiesen, MD
• Christa M. Wightman, P.A.
• Sandy Williams, APN
• Philip Harold Witt, PH.D.
• Sarah Wolff, PA
• Women's Health & Counseling Center
• Marjorie Woodruff, PH.D.
• Linda Worsthorn, BA

• Professional Counselor in Somerville, NJ
• Providers in Somerville, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.