Individual provider Active NPI

Lisa Brette Dacierno, LCSW

  • Clinical Social Worker
  • Teaneck, NJ
National Provider Identifier
1891983177
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
901 Teaneck Rd
Teaneck, NJ 07666-4511
Phone
(291) 357-2715
Fax
(201) 833-8858
NPI assigned
Oct 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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 NJ Primary

Addresses

Primary practice location

901 Teaneck Rd
Teaneck, NJ 07666-4511

Mailing address

901 Teaneck Rd
Teaneck, NJ 07666-4511
Phone (291) 357-2715

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
I20100825000510 NJ Practitioner - Clinical Social Worker 4688798820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1182 Teaneck Rd
Suite 103
Teaneck, NJ 07666-4838
Phone (201) 741-2675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa D'Acierno, LCSW, LLC Clinical CurrentSince Apr 6, 2010 Accepting new patients

Locations

1182 Teaneck Rd
Ste 103
Teaneck, NJ 07666
Phone (201) 357-2715

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1891983177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664511",
            "telephone_number": "291-357-2715",
            "fax_number": "201-833-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664511",
            "telephone_number": "291-357-2715",
            "fax_number": "201-833-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACIERNO",
        "first_name": "LISA",
        "middle_name": "BRETTE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.