Individual provider Active NPI

Nancy Lutzky Paley, LCSW

  • Clinical Social Worker
  • Old Bridge, NJ
National Provider Identifier
1790952265
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00177600 Issued in NJ
Practice address
3895 Route 516
Suite 2B
Old Bridge, NJ 08857-2499
Phone
(732) 679-4500
Fax
(732) 679-4549
NPI assigned
May 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2008

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 44SC00177600 NJ Primary

Addresses

Primary practice location

3895 Route 516
Suite 2B
Old Bridge, NJ 08857-2499

Mailing address

3895 Route 516
Suite 2B
Old Bridge, NJ 08857-2499
Phone (732) 679-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081110000528 NJ Practitioner - Clinical Social Worker 3678632320 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Perelman School of Med at the University of Pennsylvania, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindcare Therapeutics LLCGroup PAC ID 6305332438, 5 clinicians
Elder Life Management LLCGroup PAC ID 1153317508, 5 clinicians

Practice addresses (Care Compare)

300 E Pleasant Grove Rd
Jackson, NJ 08527-4240
Phone (732) 532-3827

4000 Route 66
Suite 225
Tinton Falls, NJ 07753-7300
Phone (732) 493-8080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindcare Therapeutics LLC Clinical CurrentSince Oct 8, 2025 Accepting new patients
Elder Life Management LLC Clinical CurrentSince Jun 14, 2024 Accepting new patients
Stress Care of Central Jersey, PC Clinical Past Accepting new patients
Premier Care LLC Dba Elder Life Home Care LLC Past Accepting new patients
Stress Care of New Jersey, LLC Past Accepting new patients

Locations

4000 State Route 66
Ste 225
Tinton Falls, NJ 07753

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1790952265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3895 ROUTE 516",
            "address_2": "SUITE 2B",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572499",
            "telephone_number": "732-679-4500",
            "fax_number": "732-679-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3895 ROUTE 516",
            "address_2": "SUITE 2B",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572499",
            "telephone_number": "732-679-4500",
            "fax_number": "732-679-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALEY",
        "first_name": "NANCY",
        "middle_name": "LUTZKY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00177600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.