Individual provider Active NPI

Gladys Bernabe Crasta, LCSW/MSW

  • Clinical Social Worker
  • West Long Branch, NJ
National Provider Identifier
1699961698
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00861200 Issued in NJ
Practice address
265 Route 36 Ste 106
West Long Branch, NJ 07764-1042
Phone
(848) 456-4601
Fax
(848) 456-4607
NPI assigned
Sep 24, 2007
Last updated
Apr 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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 44SC00861200 NJ Primary

Addresses

Primary practice location

265 Route 36 Ste 106
West Long Branch, NJ 07764-1042

Mailing address

265 Route 36 Ste 106
West Long Branch, NJ 07764-1042
Phone (848) 456-4601

Other names 1

  • Gladys Bernabe Crasta Professional name

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
I20120816000766 NJ Practitioner - Clinical Social Worker 5193772556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

265 Route 36
Suite 103
West Long Branch, NJ 07764-1503

864 Broadway
West Long Branch, NJ 07764-1503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seek & Find Professional Counseling Inc. Clinical PastSince Jun 1, 2001 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1699961698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 ROUTE 36 STE 106",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641042",
            "telephone_number": "848-456-4601",
            "fax_number": "848-456-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 ROUTE 36 STE 106",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641042",
            "telephone_number": "848-456-4601",
            "fax_number": "848-456-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNABE CRASTA",
        "first_name": "GLADYS",
        "credential": "LCSW/MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00861200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLADYS",
            "last_name": "CRASTA",
            "middle_name": "BERNABE",
            "credential": "LCSW MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Long Branch, NJ

Sources for this page

Verify at the official NPI Registry.