Individual provider Active NPI

Allison Reynolds, LCSW

  • Clinical Social Worker
  • Mount Arlington, NJ
National Provider Identifier
1720455967
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05789500 Issued in NJ
Practice address
111 Howard Blvd Ste 205
Mount Arlington, NJ 07856-1315
Phone
(973) 600-0100
NPI assigned
Aug 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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 44SC05789500 NJ Primary

Addresses

Primary practice location

111 Howard Blvd Ste 205
Mount Arlington, NJ 07856-1315

Mailing address

111 Howard Blvd Ste 205
Mount Arlington, NJ 07856-1315
Phone (973) 600-0100

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
I20190328002511 NJ Practitioner - Clinical Social Worker 6608116637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological Associates of North Jersey LLCGroup PAC ID 2264658418, 6 clinicians

Practice addresses (Care Compare)

108 Bilby Rd
Suite 305
Hackettstown, NJ 07840-4174
Phone (908) 979-1144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group PastSince Feb 25, 2019 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1720455967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HOWARD BLVD STE 205",
            "city": "MOUNT ARLINGTON",
            "state": "NJ",
            "postal_code": "078561315",
            "telephone_number": "973-600-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HOWARD BLVD STE 205",
            "city": "MOUNT ARLINGTON",
            "state": "NJ",
            "postal_code": "078561315",
            "telephone_number": "973-600-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ALLISON",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05789500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Arlington, NJ

Sources for this page

Verify at the official NPI Registry.