Clarissa Dambra, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05492900 Issued in NJ

Practice address

377 2ND St
Jersey City, NJ 07302-2625

Phone

(201) 936-6850

NPI assigned

Mar 23, 2012

Last updated

Mar 23, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Om Psychological ServicesGroup PAC ID 0446731178, 11 clinicians

Summit Psychological Services PAGroup PAC ID 9032213483, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Om Psychological Services

  • Clinical Psychologist
  • Summit, NJ
  • NPI 1073474466
  Medicare reassignment Care Compare group NPD
• Summit Psychological Services PA

  • Psychologist
  • Summit, NJ
  • NPI 1992893317
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1841566825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2312",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070962312",
            "telephone_number": "201-936-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 2ND ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022625",
            "telephone_number": "201-936-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMBRA",
        "first_name": "CLARISSA",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05492900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dahlia Transportation Inc
• Yujia Dai
• Dakshina Chitra Home Care Services LLC
• Ektaben Dalwadi
• Sara Elizabeth Daly
• Vijay R Dandu, M.S.
• Lorrelle Daniel
• Lashaun Daniels-Edney, PHD, LCSW
• Kabir Daniels-Verden
• Klaus Danjolli, MD

• Clinical Social Worker in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.

Verify at the official NPI Registry.