Individual provider Active NPI

Amanda Echevarria

  • Social Worker
  • West Orange, NJ
National Provider Identifier
1760933931
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06109500 Issued in NJ
Practice address
8 Marcella Ave
West Orange, NJ 07052-4164
Phone
(973) 736-2041
NPI assigned
Oct 21, 2016
Last updated
Oct 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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 44SL06109500 NJ Primary

Addresses

Primary practice location

8 Marcella Ave
West Orange, NJ 07052-4164

Mailing address

8 Marcella Ave
West Orange, NJ 07052-4164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06109500NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Counseling Service CurrentSince Oct 26, 2022 Accepting new patients
Main St Counseling Center PastSince Oct 26, 2022 Accepting new patients

Locations

8 Marcella Ave
West Orange, NJ 07052
Phone (973) 736-2041

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": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1760933931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MARCELLA AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MARCELLA AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524164",
            "telephone_number": "973-736-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEVARRIA",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06109500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.