Active NPI
Ian Daniel Hargreaves, LSW
- Social Worker
- Somers Point, NJ
National Provider Identifier
1669199444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06725500
- Practice address
- 803 New Rd
Somers Point, NJ 08244-1846 - Phone
- (609) 415-4901
- NPI assigned
- Oct 24, 2022
- Last updated
- Oct 24, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL06725500 | NJ | Primary |
Addresses
Primary practice location
803 New Rd
Somers Point, NJ 08244-1846
Mailing address
803 New Rd FL 2
Somers Point, NJ 08244-1846
Phone (609) 415-4901
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 |
|---|---|---|---|
| 44SL06725500 | NJ | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island Therapy LLC | Current | Accepting new patients | |
| Island Therapy LLC | Current | Accepting new patients |
Locations
803 New Rd
Somers Point, NJ 08244
Phone (609) 415-4901
803 New Rd
Fl 2
Somers Point, NJ 08244
Phone (609) 415-4901
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Somers Point, NJ
- NPI 1053005355
-
- Community/Behavioral Health Agency
- Somers Point, NJ
- NPI 1255922639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1669199444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 NEW RD FL 2",
"city": "SOMERS POINT",
"state": "NJ",
"postal_code": "082441846",
"telephone_number": "609-415-4901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 NEW RD",
"city": "SOMERS POINT",
"state": "NJ",
"postal_code": "082441846",
"telephone_number": "609-415-4901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARGREAVES",
"first_name": "IAN",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-24",
"last_updated": "2022-10-24",
"certification_date": "2022-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06725500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somers Point, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.