Individual provider Active NPI

Nivedita Elangovan, LCSW, LCADC

  • Clinical Social Worker
  • East Brunswick, NJ
National Provider Identifier
1629644695
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
7 Edinburg LN
East Brunswick, NJ 08816-5242
Phone
(732) 931-2615
NPI assigned
Jun 1, 2021
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 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 NJ
Clinical Social Worker 1041C0700X NJ Primary

Addresses

Primary practice location

7 Edinburg LN
East Brunswick, NJ 08816-5242

Mailing address

7 Edinburg LN
East Brunswick, NJ 08816-5242
Phone (732) 931-2615

Other practice location 1

10 Industrial Way E Ste 108
Eatontown, NJ 07724-3332
Phone (732) 842-2000

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
I20230821001406 NJ Practitioner - Clinical Social Worker 8729440904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CPC Behavioral Healthcare IncGroup PAC ID 3971593161, 58 clinicians

Practice addresses (Care Compare)

270 Hwy 35
Red Bank, NJ 07701-5920
Phone (732) 842-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CPC Integrated Health, Inc. Current Accepting new patients
CPC Behavioral Healthcare, Inc CurrentSince Apr 25, 2023 Accepting new patients

Locations

10 Industrial Way E
Eatontown, NJ 07724
Phone (732) 935-2220

10 Industrial Way E
Ste 108
Eatontown, NJ 07724
Phone (732) 842-2000

22 Court St
Freehold, NJ 07728
Phone (732) 780-7387

270 State Route 35
Red Bank, NJ 07701
Phone (732) 842-2000

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, 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": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1629644695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 EDINBURG LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165242",
            "telephone_number": "732-931-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 EDINBURG LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165242",
            "telephone_number": "732-931-2615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Industrial Way E Ste 108",
            "address_purpose": "LOCATION",
            "city": "Eatontown",
            "state": "NJ",
            "postal_code": "077243332",
            "country_code": "US",
            "telephone_number": "732-842-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELANGOVAN",
        "first_name": "NIVEDITA",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.