Individual provider Active NPI

Engerd Carela, LCSW, LCADC

  • Clinical Social Worker
  • Jersey City, NJ
National Provider Identifier
1821680653
Registry record updated Feb 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06226900 Issued in NJ
Practice address
92 Wayne St
Jersey City, NJ 07302-3599
Phone
(201) 381-0810
NPI assigned
Feb 3, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC003100300 NJ
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 44SC06226900 NJ Primary
Social Worker 104100000X 44SL06550300 NJ

Addresses

Primary practice location

92 Wayne St
Jersey City, NJ 07302-3599

Mailing address

92 Wayne St
Jersey City, NJ 07302-3599

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

LicenseStateTypeSpecialty
37LC003100300NJMDAddiction (Substance Use Disorder) Counselor
44SL06550300NJMDSocial Worker
44SC06226900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Second Chance Opportunity Reintegration Entity Systems, LLC Addiction (Substance Use Disorder) CurrentSince Jul 4, 2021 Accepting new patients
Stay Focused Therapy Addiction (Substance Use Disorder) CurrentSince Mar 1, 2021 Accepting new patients
Scores Reentry Inc Addiction (Substance Use Disorder) PastSince Mar 27, 2022 Accepting new patients

Locations

29 Locust Ave
Wallington, NJ 07057

Organizations & group practices 3

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": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708128000000",
    "number": "1821680653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 WAYNE ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 WAYNE ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023599",
            "telephone_number": "201-381-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARELA",
        "first_name": "ENGERD",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-03",
        "last_updated": "2024-02-17",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC003100300",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06226900",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06550300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.