Individual provider Active NPI

Michele D Vallone, MSW, LCSW

  • Social Worker
  • Upper Montclair, NJ
National Provider Identifier
1831396977
Registry record updated Jun 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL05014500 Issued in NJ
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

Updated by the provider on Jun 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
44SL05014500OtherNJSOCIAL 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
44SL05014500NJMDSocial 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

Sources for this page

Verify at the official NPI Registry.