Sevil H Modeste

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06432300 Issued in NJ

Practice address

2040 Millburn Ave Ste 102
Maplewood, NJ 07040-3716

Phone

(732) 762-2406

NPI assigned

Jun 11, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1780209171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 MILLBURN AVE STE 102",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 MILLBURN AVE STE 102",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403716",
            "telephone_number": "732-762-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODESTE",
        "first_name": "SEVIL",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00317600",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06432300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millburn Medical Imaging, PA
• Cheron Darlene Miller Roche, OT/L
• Catherine Lillianne Miller, DO
• Mind Your Thoughts
• Mindset Psychotherapy Center
• Erlie Moise, LAC
• Randi Morgan, RN
• Niama Morrison, MSW
• Ralph Moscarella, MA, CCC-A
• Kevin Francis Muench, DMD MAGD

• Social Worker in Maplewood, NJ
• Providers in Maplewood, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.