Individual provider Active NPI

Daniele Deoliveira

  • Clinical Social Worker
  • Atlantic Highlands, NJ
National Provider Identifier
1699237222
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06197900 Issued in NJ
Practice address
162 Ocean Blvd
Atlantic Highlands, NJ 07716-1517
Phone
(646) 739-3642
NPI assigned
Apr 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW21047 FL
Clinical Social Worker 1041C0700X 44SC06197900 NJ Primary

Addresses

Primary practice location

162 Ocean Blvd
Atlantic Highlands, NJ 07716-1517

Mailing address

1533 SE 5TH St
Deerfield Beach, FL 33441-4927
Phone (646) 739-3642

Other practice location 1

1533 SE 5th St
Deerfield Beach, FL 33441-4927
Phone (646) 739-3642

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

LicenseStateTypeSpecialty
SW21047FLMDClinical Social Worker
44SC06197900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Prad LB LLC CurrentSince Apr 6, 2023 Accepting new patients

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": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1699237222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 SE 5TH ST",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414927",
            "telephone_number": "646-739-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 OCEAN BLVD",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077161517",
            "telephone_number": "646-739-3642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1533 SE 5th St",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334414927",
            "country_code": "US",
            "telephone_number": "646-739-3642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEOLIVEIRA",
        "first_name": "DANIELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW21047",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06197900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic Highlands, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.