Individual provider Active NPI

Angela Wrigley Leone, LCSW

  • Clinical Social Worker
  • West Orange, NJ
National Provider Identifier
1801422886
Registry record updated Mar 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05879800 Issued in NJ
Practice address
80 Main St Ste 300
West Orange, NJ 07052-5439
Phone
(201) 953-5506
NPI assigned
Mar 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2020

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 44SC05879800 NJ Primary

Addresses

Primary practice location

80 Main St Ste 300
West Orange, NJ 07052-5439

Mailing address

12 Brook Dr N
Morris Plains, NJ 07950-2218

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
I20200408000321 NJ Practitioner - Clinical Social Worker 0345679619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Keith Golin PHD LLCGroup PAC ID 6608879226, 23 clinicians

Practice addresses (Care Compare)

103 Pleasant Valley Way
West Orange, NJ 07052-2905
Phone (888) 284-2034

22 Old Short Hills Rd
Suite 216
Livingston, NJ 07039-5605
Phone (888) 284-2034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05879800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Keith Golin PHD LLC Current Accepting new patients
Keith Golin PHD LLC CurrentSince Mar 15, 2020 Accepting new patients

Locations

201 Crosswicks St
Bordentown, NJ 08505
Phone (609) 298-9960

22 Old Short Hills Rd
Ste 216
Livingston, NJ 07039
Phone (973) 994-3145

659 Eagle Rock Ave
Ste 4
West Orange, NJ 07052
Phone (855) 274-3395

103 Pleasant Valley Way
West Orange, NJ 07052
Phone (201) 407-5145

Organizations & group practices 2

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": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584748800000",
    "number": "1801422886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BROOK DR N",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079502218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MAIN ST STE 300",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525439",
            "telephone_number": "201-953-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONE",
        "first_name": "ANGELA",
        "middle_name": "WRIGLEY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-21",
        "last_updated": "2020-03-21",
        "certification_date": "2020-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05879800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.