Active NPI
Elaine Theresa Dill, L.C.S.W.
- Clinical Social Worker
- Pluckemin, NJ
National Provider Identifier
1881820991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC04974000
- Practice address
- 254 Route 202-206
Pluckemin, NJ 07978 - Phone
- (908) 490-1923
- Fax
- (908) 490-1923
- NPI assigned
- Jun 3, 2009
- Last updated
- Jun 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC04974000 | NJ | Primary |
Addresses
Primary practice location
254 Route 202-206
Pluckemin, NJ 07978
Mailing address
PO Box 168
Pluckemin, NJ 07978-0168
Phone (908) 490-1923
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
655 Westfield Ave
Elizabeth, NJ 07208-1325
Phone (908) 352-8375
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC04974000 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Om Psychological Services | Current | Accepting new patients | |
| Jewish Family Service Agency of Central Jersey | Clinical | Current | Accepting new patients |
| Summit Psychological Services PA | Current | Accepting new patients |
Locations
655 Westfield Ave
Elizabeth, NJ 07208
Phone (908) 352-8375
482 Springfield Ave
Fl 2
Summit, NJ 07901
Phone (908) 273-5558
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.
-
- Clinical Social Worker
- Elizabeth, NJ
- NPI 1518051572
-
- Psychologist
- Summit, NJ
- NPI 1992893317
-
- Clinical Psychologist
- Summit, NJ
- NPI 1073474466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243987200000",
"number": "1881820991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 168",
"city": "PLUCKEMIN",
"state": "NJ",
"postal_code": "079780168",
"telephone_number": "908-490-1923",
"fax_number": "908-490-1923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 ROUTE 202-206",
"city": "PLUCKEMIN",
"state": "NJ",
"postal_code": "07978",
"telephone_number": "908-490-1923",
"fax_number": "908-490-1923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILL",
"first_name": "ELAINE",
"middle_name": "THERESA",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-03",
"last_updated": "2009-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC04974000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pluckemin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.