Individual provider Active NPI

Irva Excellent, LSW

  • Social Worker
  • East Brunswick, NJ
National Provider Identifier
1730974940
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL07153100 Issued in NJ
Practice address
190 Route 18
East Brunswick, NJ 08816-1407
Phone
(732) 333-8520
NPI assigned
Apr 10, 2025
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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 44SL07153100 NJ Primary

Addresses

Primary practice location

190 Route 18
East Brunswick, NJ 08816-1407

Mailing address

190 Route 18 Ste 304
East Brunswick, NJ 08816-1407

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
44SL07153100NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A Freeman's Place Counseling LLC CurrentSince Apr 13, 2025 Accepting new patients
A Freeman's Place Counseling CurrentSince Apr 13, 2025 Accepting new patients

Locations

190 Route 18
Ste 304
East Brunswick, NJ 08816
Phone (732) 333-8520

190 State Route 18
East Brunswick, NJ 08816
Phone (732) 333-8520

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": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1730974940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 ROUTE 18 STE 304",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 ROUTE 18",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161407",
            "telephone_number": "732-333-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EXCELLENT",
        "first_name": "IRVA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL07153100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.