Individual provider Active NPI

Lena Gilman, LSW MSW M.ED

  • Social Worker
  • Old Bridge, NJ
National Provider Identifier
1669909420
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06195800 Issued in NJ
Practice address
14 Longview Rd
Old Bridge, NJ 08857-1604
Phone
(347) 276-7332
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2017

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 44SL06195800 NJ Primary

Addresses

Primary practice location

14 Longview Rd
Old Bridge, NJ 08857-1604

Mailing address

14 Longview Rd
Old Bridge, NJ 08857-1604
Phone (347) 276-7332

Other names 1

  • Lena D'Agostino Former name

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
I20200131000136 NJ Practitioner - Clinical Social Worker 5698101178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Melissa Rivera Marano, Psy.D., LLCGroup PAC ID 8022349489, 3 clinicians

Practice addresses (Care Compare)

495 Iron Bridge Rd
Suite 12
Freehold, NJ 07728-5306
Phone (732) 683-2322

509 Stillwells Corner Rd
BLDG E Suite 7
Freehold, NJ 07728-2965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06195800NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Rivera Marano, Psy.D., LLC CurrentSince Jan 10, 2020 Accepting new patients

Locations

495 Iron Bridge Rd
Ste 12
Freehold, NJ 07728
Phone (732) 334-8624

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1669909420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LONGVIEW RD",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571604",
            "telephone_number": "347-276-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 LONGVIEW RD",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571604",
            "telephone_number": "347-276-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMAN",
        "first_name": "LENA",
        "name_prefix": "Mrs.",
        "credential": "LSW MSW M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06195800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LENA",
            "last_name": "D'AGOSTINO",
            "credential": "LSW MSW M.ED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.