Individual provider Active NPI

Anne Marie Julia Verrecchia, MSW LCSW

  • Clinical Social Worker
  • Ridgewood, NJ
National Provider Identifier
1679664650
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00307900 Issued in NJ
Practice address
112 Prospect St
Ridgewood, NJ 07450-4489
Phone
(201) 447-5565
Fax
(973) 875-4983
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC00307900 NJ Primary

Addresses

Primary practice location

112 Prospect St
Ridgewood, NJ 07450-4489

Mailing address

PO Box 432
Vernon, NJ 07462-0432
Phone (973) 769-7184

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
I20050405000667 NJ Practitioner - Clinical Social Worker 2860449543 Practice locations: Sparta, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

112 Prospect St
Ridgewood, NJ 07450-4429

46 Main St
Suite 401
Sparta, NJ 07871-1910
Phone (973) 769-7184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1679664650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "VERNON",
            "state": "NJ",
            "postal_code": "074620432",
            "telephone_number": "973-769-7184",
            "fax_number": "973-875-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 PROSPECT ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504489",
            "telephone_number": "201-447-5565",
            "fax_number": "973-875-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERRECCHIA",
        "first_name": "ANNE MARIE",
        "middle_name": "JULIA",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00307900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.