Individual provider Active NPI

Wendy J Whitbred, MSW

  • Social Worker
  • Woodbridge, NJ
National Provider Identifier
1669044251
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
300 Kimball St Ste 106
Woodbridge, NJ 07095-2506
Phone
(732) 218-8600
Fax
(732) 218-8601
NPI assigned
Jul 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 NJ Primary

Addresses

Primary practice location

300 Kimball St Ste 106
Woodbridge, NJ 07095-2506

Mailing address

3802 Symes Dr
Belle Mead, NJ 08502-4211

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL insightscounselingcenter.org

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
I20241029004751 NJ Practitioner - Clinical Social Worker 9335672336 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Tortorello Gilligan MSW LCSW LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

300 Kimball St
Ste 106
Woodbridge, NJ 07095
Phone (732) 218-8600

Organizations & group practices 1

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": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1669044251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 SYMES DR",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "085024211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 KIMBALL ST STE 106",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070952506",
            "telephone_number": "732-218-8600",
            "fax_number": "732-218-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITBRED",
        "first_name": "WENDY",
        "middle_name": "J",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "insightscounselingcenter.org",
            "affiliation": "N",
            "address_1": "300 Kimball St Ste 106",
            "city": "Woodbridge",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070952506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodbridge, NJ

Sources for this page

Verify at the official NPI Registry.