Edward Charles Caslin, M.S.W.
Individual provider Active NPI Clinical Social Worker · Dumont, NJ
NPI 1750643102 · NPPES record last updated Jun 12, 2012
Key facts
- NPI
- 1750643102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC04641100 (NJ)
- Practice address
- 401 Washington Ave
First Floor
Dumont, NJ 07628-1510 - Phone
- (201) 501-0165
- NPI assigned
- Jun 12, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Senior Care Therapy LLC
Practice addresses (Care Compare)
85 Crescent Ave
Passaic, NJ 07055-2437
Phone (973) 264-0023
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211004001075 | NJ | Practitioner - Clinical Social Worker | 8628476702 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC04641100 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Care Therapy LLC | Clinical | Current |
Accepting new patients |
Locations
2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC04641100 | NJ | Yes |
Addresses
Primary practice location
401 Washington Ave
First Floor
Dumont, NJ 07628-1510
Mailing address
401 Washington Ave
First Floor
Dumont, NJ 07628-1510
Phone (201) 501-0165
Other providers in Dumont, NJ
- Elena A. Cabrera
- Aubrey Canecchia
- Ilana Stacey Capozzi
- Jessica Cardona-Garcia
- Jennifer Casey
- Rajeshree Prashant Chinchankar
- Virginia Clark
- Krystal Coke
- Community Options, Inc
- Community Options, Inc.
All providers in Dumont, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.