Individual provider Active NPI

Catherine Ottaviano, LCSW

  • Clinical Social Worker
  • Linwood, NJ
National Provider Identifier
1871129452
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05919300 Issued in NJ
Practice address
1401 New Rd FL 2
Linwood, NJ 08221-1121
Phone
(609) 225-9355
NPI assigned
Mar 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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 44SC05919300 NJ Primary

Addresses

Primary practice location

1401 New Rd FL 2
Linwood, NJ 08221-1121

Mailing address

1212 Todd CT
Lakewood, NJ 08701-2256

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
I20200929000178 NJ Practitioner - Clinical Social Worker 8123447927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanticare Behavioral Health, Inc.Group PAC ID 3476450354, 28 clinicians
CCC Counseling IncGroup PAC ID 3870999493, 9 clinicians

Practice addresses (Care Compare)

13 N Hartford Ave
Atlantic City, NJ 08401-3512
Phone (609) 348-1161

1401 New Rd
FL 2
Linwood, NJ 08221-1121
Phone (732) 814-4648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CCC Counseling Inc Clinical CurrentSince Sep 1, 2021 Accepting new patients
Atlanticare Behavioral Health, Inc CurrentSince Jun 1, 2021 Accepting new patients
Atlanticare Behavioral Health, Inc. CurrentSince Jun 1, 2021 Accepting new patients

Locations

13 N Hartford Ave
Atlantic City, NJ 08401
Phone (609) 348-1161

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

6010 Black Horse Pike
Egg Hbr Twp, NJ 08234
Phone (609) 272-0909

6 Shore Rd
Linwood, NJ 08221
Phone (609) 926-8900

1401 New Rd
Fl 2
Linwood, NJ 08221
Phone (609) 225-9355

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1871129452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 TODD CT",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 NEW RD FL 2",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211121",
            "telephone_number": "609-225-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTAVIANO",
        "first_name": "CATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05919300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

Verify at the official NPI Registry.