Individual provider Active NPI

Sara Parisi, LCSW

  • Social Worker
  • Paterson, NJ
National Provider Identifier
1629492657
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL05909300 Issued in NJ
Practice address
641 Main St
Paterson, NJ 07503-3028
Phone
(973) 754-4751
NPI assigned
Feb 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL05909300 NJ Primary

Addresses

Primary practice location

641 Main St
Paterson, NJ 07503-3028

Mailing address

641 Main St
Paterson, NJ 07503-3028

Other practice location 1

1 Bay Ave
Montclair, NJ 07042-4837
Phone (973) 429-6838

Other practice location 2

551 Park Ave
Scotch Plains, NJ 07076-1767
Phone (908) 322-9623

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
I20160512000179 NJ Practitioner - Clinical Social Worker 4981993144 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs University Medical Center Inc. PastSince Feb 14, 2021 Accepting new patients

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, 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": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1629492657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075033028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075033028",
            "telephone_number": "973-754-4751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Bay Ave",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "NJ",
            "postal_code": "070424837",
            "country_code": "US",
            "telephone_number": "973-429-6838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "551 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Scotch Plains",
            "state": "NJ",
            "postal_code": "070761767",
            "country_code": "US",
            "telephone_number": "908-322-9623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARISI",
        "first_name": "SARA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05909300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.