Irene Colucci Lebbad, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05364700 Issued in NJ

Practice address

71 4TH St
Somerville, NJ 08876-3235

Phone

(908) 963-7645

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Intrapersonal Wellness

  • Clinical Social Worker
  • Somerville, NJ
  • NPI 1619241650
  NPD (past) Authorized official

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1679613681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ALEXANDRIA WAY",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202763",
            "telephone_number": "908-625-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 4TH ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088763235",
            "telephone_number": "908-963-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBBAD",
        "first_name": "IRENE",
        "middle_name": "COLUCCI",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05364700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karyn Jewelle La Canna, MSN, RN, FNP-C
• Raj Lall, DMD
• Angela Elizabeth Lanfranchi, M.D.
• Deanna Larosa, MSN, AGNP-C, RN-BC
• Lawrence a Ferraro, D.O.
• Dana Leblein, LPC
• Christina Lee, PHARMD, RPH
• Cynthia Lee, MD
• Erica Taylor Lee
• Melissa Lee

• Clinical Social Worker in Somerville, NJ
• Providers in Somerville, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.