Individual provider Active NPI

Valerie Marcketta, LCSW

  • Clinical Social Worker
  • Scotch Plains, NJ
National Provider Identifier
1902986631
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00490200 Issued in NJ
Practice address
567 Park Ave
204
Scotch Plains, NJ 07076-1754
Phone
(908) 322-0112
Fax
(908) 789-0230
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 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 44SC00490200 NJ Primary

Addresses

Primary practice location

567 Park Ave
204
Scotch Plains, NJ 07076-1754

Mailing address

18 Meeker PL
Millburn, NJ 07041-1108
Phone (973) 376-0706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC00490200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advent Christian Health Associates Past Accepting new patients
Clarity Eyecare and Optical L.L.C PastSince Apr 23, 2023 Accepting new patients

Organizations & group practices 2

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1902986631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MEEKER PL",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411108",
            "telephone_number": "973-376-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 PARK AVE",
            "address_2": "204",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761754",
            "telephone_number": "908-322-0112",
            "fax_number": "908-789-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCKETTA",
        "first_name": "VALERIE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00490200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotch Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.