Icchoice

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05426400 Issued in NJ

Legal business name

ICCHOICE

Practice address

234 Main St
Lincoln Park, NJ 07035-3704

Phone

(973) 647-4905

NPI assigned

Feb 8, 2011

Organization subpart

No

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

Authorized official

Name

Carolyn Peguero, LCSW

Title

Licensed Clinical Social Worker

Phone

(973) 647-4905

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolyn Peguero Spencer, MA, LCSW

  • Clinical Social Worker
  • Chester, NY
  • NPI 1467754820
  NPD (past)

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1699071647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 BARNEGAT RD",
            "city": "HEWITT",
            "state": "NJ",
            "postal_code": "074213841",
            "telephone_number": "973-647-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 MAIN ST",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070353704",
            "telephone_number": "973-647-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICCHOICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "PEGUERO",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "973-647-4905",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05426400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hands With Heart
• Kristin Nicole Hernandez, OTR/L
• Beata Hertel-Kiszkiel, OT
• Tyler Hogan, NCC, LAC
• Sandra N Hunka, RD
• Internal Medicine Associates of Lincoln Park, P.a.
• Dania Irshaid
• Thomas S Iulo, DMD
• Suby Jacob, RPH
• Suhail S Jarroush, PHD, DCH

• Clinical Social Worker in Lincoln Park, NJ
• Providers in Lincoln Park, 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 Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.