Individual provider Active NPI

Nina Nieves, LSW, LCADC

  • Social Worker
  • Edison, NJ
National Provider Identifier
1700316346
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL05468200 Issued in NJ
Practice address
26 Safran Ave
Edison, NJ 08837-3510
Phone
(732) 738-1323
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL05468200 NJ Primary

Addresses

Primary practice location

26 Safran Ave
Edison, NJ 08837-3510

Mailing address

26 Safran Ave
Edison, NJ 08837-3510

Other practice location 1

540 Route 22
Bridgewater, NJ 08807-2405
Phone (908) 722-1881

Other names 1

  • Nina Perkins Former 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
I20231016000191 NJ Practitioner - Clinical Social Worker 0941565212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Charities, Diocese of MetuchenGroup PAC ID 8123011046, 14 clinicians

Practice addresses (Care Compare)

540 Route 22 E
Bridgewater, NJ 08807-2405
Phone (908) 722-1881

6 Park Ave
Flemington, NJ 08822-1319
Phone (908) 782-7905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05468200NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities, Diocese of Metuchen Social Worker CurrentSince Sep 12, 2023 Accepting new patients
Catholic Charities Diocese of Metuchen CurrentSince Sep 12, 2023 Accepting new patients

Locations

540 US Highway 22
Bridgewater, NJ 08807
Phone (908) 333-2297

26 Safran Ave
Edison, NJ 08837
Phone (732) 738-1323

6 Park Ave
Flemington, NJ 08822
Phone (908) 782-7905

319 Maple St
Perth Amboy, NJ 08861
Phone (732) 324-8200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1700316346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SAFRAN AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SAFRAN AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373510",
            "telephone_number": "732-738-1323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Route 22",
            "address_purpose": "LOCATION",
            "city": "Bridgewater",
            "state": "NJ",
            "postal_code": "088072405",
            "country_code": "US",
            "telephone_number": "908-722-1881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "NINA",
        "credential": "LSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05468200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "PERKINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.