Individual provider Active NPI

Judith Vizcarrondo, LCSW

  • Clinical Social Worker
  • Bridgewater, NJ
National Provider Identifier
1780358937
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05987700 Issued in NJ
Practice address
100 Somerset Corporate Blvd FL 2
Bridgewater, NJ 08807-2842
Phone
(856) 267-3205
NPI assigned
Aug 2, 2021
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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 44SC05987700 NJ Primary

Addresses

Primary practice location

100 Somerset Corporate Blvd FL 2
Bridgewater, NJ 08807-2842

Mailing address

873 US Route 1 # 6262
North Brunswick, NJ 08902-3345
Phone (856) 267-3205

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
44SC05987700NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Process Behavioral Consultants, LLC CurrentSince Mar 17, 2024 Accepting new patients

Locations

100 Somerset Corporate Blvd
Fl 2
Bridgewater, NJ 08807
Phone (609) 380-9200

873 US Route 1
North Brunswick, NJ 08902
Phone (732) 444-7716

Organizations & group practices 1

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": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1780358937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 US ROUTE 1 # 6262",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023345",
            "telephone_number": "856-267-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOMERSET CORPORATE BLVD FL 2",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072842",
            "telephone_number": "856-267-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIZCARRONDO",
        "first_name": "JUDITH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05987700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.