Active NPI
Daniel Balassone, LCSW
- Clinical Social Worker
- Scotch Plains, NJ
National Provider Identifier
1639550650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05789100
- Practice address
- 567 Park Ave
Scotch Plains, NJ 07076 - Phone
- (908) 322-0112
- NPI assigned
- Jun 16, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 44SC05789100 | NJ | Primary |
Addresses
Primary practice location
567 Park Ave
Scotch Plains, NJ 07076
Mailing address
208 Lenox Ave # 192
Westfield, NJ 07090-5120
Phone (862) 703-6602
Other practice location 1
655 Westfield Ave
Elizabeth, NJ 07208-1325
Phone (908) 352-8375 ext. 216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05789100 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Therapy Group, LLC | Clinical | Current | Accepting new patients |
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- danielbalassone@tdh.allscriptsdirect.net
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.
-
- Clinical Social Worker
- Westfield, NJ
- NPI 1194600932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526256000000",
"number": "1639550650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 LENOX AVE # 192",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "070905120",
"telephone_number": "862-703-6602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "567 PARK AVE",
"city": "SCOTCH PLAINS",
"state": "NJ",
"postal_code": "07076",
"telephone_number": "908-322-0112"
}
],
"practiceLocations": [
{
"address_1": "655 Westfield Ave",
"address_purpose": "LOCATION",
"city": "Elizabeth",
"state": "NJ",
"postal_code": "072081325",
"country_code": "US",
"telephone_number": "908-352-8375 x216",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALASSONE",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-16",
"last_updated": "2018-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05789100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scotch Plains, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.