Active NPI
Abigail D Acevedo, LSW
- Social Worker
- Sicklerville, NJ
National Provider Identifier
1801373311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06357000
- Practice address
- 3111 Route 42 Ste B
Sicklerville, NJ 08081-5107 - Phone
- (609) 365-1789
- NPI assigned
- Jul 26, 2018
- Last updated
- Jul 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL06357000 | NJ | Primary |
Addresses
Primary practice location
3111 Route 42 Ste B
Sicklerville, NJ 08081-5107
Mailing address
115 Driftwood CT
Galloway, NJ 08205-3218
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06357000 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1801373311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 DRIFTWOOD CT",
"city": "GALLOWAY",
"state": "NJ",
"postal_code": "082053218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3111 ROUTE 42 STE B",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080815107",
"telephone_number": "609-365-1789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACEVEDO",
"first_name": "ABIGAIL",
"middle_name": "D",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-26",
"last_updated": "2018-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06357000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sicklerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.