Christine Marie Antonelli, DSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC01019700 Issued in NJ

Practice address

2400 McClellan Ave
Suite 101 East
Pennsauken, NJ 08109-4609

Phone

(856) 488-9595

NPI assigned

Oct 1, 2008

Last updated

Oct 1, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Antonelli & Associates, Inc.

  • Clinical Social Worker
  • Pennsauken, NJ
  • NPI 1366467292
  Authorized official Same address or phone
• Grow Healthcare Group of New Jersey PC

  • Mental Health Counselor
  • Hoboken, NJ
  • NPI 1841949328

  Clinical

  NPD

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1780835470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MCCLELLAN AVE",
            "address_2": "SUITE 101 EAST",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081094609",
            "telephone_number": "856-488-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MCCLELLAN AVE",
            "address_2": "SUITE 101 EAST",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081094609",
            "telephone_number": "856-488-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONELLI",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "DSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01019700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0094676",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Americare 2 Discount Pharmacy LLC (AmeriCare 2 Pharmacy)
• Americare 2 Pharmacy LLC. (Americare Pharmacy)
• Janelle Anderson
• Angels of America Home Care LLC
• Antonelli & Associates, Inc.
• Arbor Dental, P.C.
• Arc of Camden County - Pennsauken Atc
• Arc of Camden County -Lihn Atc
• Clarissa Alexis Armstrong, NURSE
• Michael Asante, NP

• Clinical Social Worker in Pennsauken, NJ
• Providers in Pennsauken, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.