Individual provider Active NPI

Lydia Buchalski, LCSW, LCADC, ACS

  • Clinical Social Worker
  • Newton, NJ
National Provider Identifier
1811475650
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05800100 Issued in NJ
Practice address
30 Moran St Ste 2
Newton, NJ 07860-1832
Phone
(862) 377-4294
NPI assigned
Aug 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 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 44SC05800100 NJ Primary

Addresses

Primary practice location

30 Moran St Ste 2
Newton, NJ 07860-1832

Mailing address

19 Glenn Ter
Newton, NJ 07860-5112
Phone (862) 377-4294

Other practice location 1

19 Glenn Ter
Newton, NJ 07860-5112
Phone (862) 377-4294

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
I20190102002670 NJ Practitioner - Clinical Social Worker 6305181843 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
Group practices
Delta Therapy LLCGroup PAC ID 4486179009, 3 clinicians

Practice addresses (Care Compare)

75 State Route 15
G5
Lafayette, NJ 07848-3208
Phone (973) 862-8725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Therapy LLC CurrentSince Mar 31, 2025 Accepting new patients

Locations

75 State Route 15
#G5
Lafayette, NJ 07848
Phone (973) 862-8725

75 State Route 15
Unit G5
Lafayette, NJ 07848
Phone (973) 500-8642

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1811475650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 GLENN TER",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078605112",
            "telephone_number": "862-377-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MORAN ST STE 2",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078601832",
            "telephone_number": "862-377-4294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Glenn Ter",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "NJ",
            "postal_code": "078605112",
            "country_code": "US",
            "telephone_number": "862-377-4294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHALSKI",
        "first_name": "LYDIA",
        "credential": "LCSW, LCADC, ACS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05800100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

Verify at the official NPI Registry.