Individual provider Active NPI

Daniel Balassone, LCSW

  • Clinical Social Worker
  • Scotch Plains, NJ
National Provider Identifier
1639550650
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05789100 Issued in NJ
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

Updated by the provider on May 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
44SC05789100NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Therapy Group, LLC Clinical CurrentSince Aug 17, 2025 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.