Individual provider Active NPI

William Michael Digennaro, LCSW

  • Clinical Social Worker
  • Hamilton, NJ
National Provider Identifier
1861150351
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06014400 Issued in NJ
Practice address
100 Horizon Center Blvd
Hamilton, NJ 08691-1910
Phone
(856) 424-4408
Fax
(856) 596-9164
NPI assigned
Dec 2, 2021
Last updated
Dec 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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 44SC06014400 NJ Primary

Addresses

Primary practice location

100 Horizon Center Blvd
Hamilton, NJ 08691-1910

Mailing address

PO Box 3820
Cherry Hill, NJ 08034-0588
Phone (856) 424-4408

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
I20220209001780 NJ Practitioner - Clinical Social Worker 9931592235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Therapy Institute New JerseyGroup PAC ID 8921316605, 12 clinicians

Practice addresses (Care Compare)

400 New Durham Rd
Metuchen, NJ 08840-2455
Phone (732) 902-2181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Therapy Institute New Jersey Clinical CurrentSince Oct 2, 2025 Accepting new patients

Locations

256 Broad St
Fl 3
Bloomfield, NJ 07003

312 Amboy Ave
Ste 2
Metuchen, NJ 08840
Phone (848) 219-2874

400 New Durham Rd
Metuchen, NJ 08840
Phone (732) 482-9829

206 Claremont Ave
Ste 2
Montclair, NJ 07042
Phone (732) 902-2182

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1861150351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3820",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080340588",
            "telephone_number": "856-424-4408",
            "fax_number": "856-596-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HORIZON CENTER BLVD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086911910",
            "telephone_number": "856-424-4408",
            "fax_number": "856-596-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGENNARO",
        "first_name": "WILLIAM",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06014400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.