Active NPI
Michele D Vallone, MSW, LCSW
- Social Worker
- Upper Montclair, NJ
National Provider Identifier
1831396977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL05014500
- Practice address
- One Bellevue Address
Suite 7
Upper Montclair, NJ 07043 - Phone
- (201) 572-9519
- NPI assigned
- Jul 2, 2007
- 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 | 44SL05014500 | NJ | Primary |
Addresses
Primary practice location
One Bellevue Address
Suite 7
Upper Montclair, NJ 07043
Mailing address
One Bellevue Address
Suite 7
Upper Montclair, NJ 07043-1412
Phone (201) 572-9519
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44SL05014500 | Other | NJ | SOCIAL WORK LICENSE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140825000364 | NJ | Practitioner - Clinical Social Worker | 4880812437 | Practice locations: Clifton, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
141 Friar LN
Clifton, NJ 07013-3209
Phone (201) 572-9519
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL05014500 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527897600000",
"number": "1831396977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE BELLEVUE ADDRESS",
"address_2": "SUITE 7",
"city": "UPPER MONTCLAIR",
"state": "NJ",
"postal_code": "070431412",
"telephone_number": "201-572-9519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE BELLEVUE ADDRESS",
"address_2": "SUITE 7",
"city": "UPPER MONTCLAIR",
"state": "NJ",
"postal_code": "07043",
"telephone_number": "201-572-9519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLONE",
"first_name": "MICHELE",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2018-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL05014500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORK LICENSE",
"identifier": "44SL05014500",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Upper Montclair, NJ
- Stellar Counseling Services
- Betsy Stephens, LSW
- Michaelle Sullivan
- Upper Montclair Dental Associates
- Upper Montclair Psychological Associates, LLC
- Deepti-Sagar Varma, M.D
- Verne Psychotherapy and Wellness LLC
- Nancy M. Walther, MA, MSW, LCSW, LCADC
- Carol R. Wenzel-Rideout, PSY.D.
- Margaret Lebo White, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.