Individual provider Active NPI

Gretel J. Lavieri

  • Clinical Social Worker
  • Pennington, NJ
National Provider Identifier
1861936437
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05196200 Issued in NJ
Practice address
107 Darrow Dr
Pennington, NJ 08534-1809
Phone
(609) 433-6417
NPI assigned
Dec 15, 2016
Reactivated
Mar 9, 2017
Last updated
Mar 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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 44SC05196200 NJ Primary

Addresses

Primary practice location

107 Darrow Dr
Pennington, NJ 08534-1809

Mailing address

107 Darrow Dr
Pennington, NJ 08534-1809
Phone (609) 433-6417

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
I20040611000145 NJ Practitioner - Clinical Social Worker 6305829227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

107 Darrow Dr
Pennington, NJ 08534-1809
Phone (609) 433-6417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05196200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gretel J Lavieri, LCSW LLC CurrentSince Dec 15, 2016 Accepting new patients
Sherman Counseling and Consulting, Inc. Clinical Past Accepting new patients
Generations Counseling & Care Management LLC PastSince Aug 17, 2006 Accepting new patients

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, 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": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1861936437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 DARROW DR",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341809",
            "telephone_number": "609-433-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 DARROW DR",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341809",
            "telephone_number": "609-433-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIERI",
        "first_name": "GRETEL",
        "middle_name": "J.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2017-03-09",
        "deactivation_date": "2017-02-22",
        "reactivation_date": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05196200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

Verify at the official NPI Registry.