Dominick Ottomanelli Jr., LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1250 Sussex Tpke Ste N
Randolph, NJ 07869-2908

Phone

(973) 532-2256

NPI assigned

Jul 22, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Dominick Ottomanelli, LCSW LLC

  • Clinical Social Worker
  • Madison, NJ
  • NPI 1952289969

  Multi-Specialty

  NPD Authorized official
• New Jersey Center for Cognitive and Dialectical Behavior Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Randolph, NJ
  • NPI 1518516061
  NPD

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1659944197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FLETCHER PL",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 SUSSEX TPKE STE N",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692908",
            "telephone_number": "973-532-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTOMANELLI",
        "first_name": "DOMINICK",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dottomanelli@njccdbt.com",
            "affiliation": "N",
            "address_1": "1250 Sussex Tpke Ste N",
            "city": "Randolph",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078692908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew John Obrien
• Daniela Olivera, MA, LAC
• Dominic Frank Olivo
• Optical Options
• Angela Otto-Ryan, DNP, APN, CPNP-PC
• Our Doctor in the House LLC
• Fiona Pakonis, M.D.
• Susan M Palmer, DO
• Lauren Pampinella, APN
• Shruti Pandya

• Social Worker in Randolph, NJ
• Providers in Randolph, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.