Active NPI
Daniele Deoliveira
- Clinical Social Worker
- Atlantic Highlands, NJ
National Provider Identifier
1699237222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC06197900
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SW21047 | FL | MD | Clinical Social Worker |
| 44SC06197900 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prad LB LLC | Current | 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.
-
- Community/Behavioral Health Agency
- Deerfield Beach, FL
- NPI 1891498150
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.