Active NPI
Kerlandre Adrien, LSW
- Social Worker
- Elizabeth, NJ
National Provider Identifier
1922123736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL05426300
- Practice address
- 655 Westfield Ave
Elizabeth, NJ 07208-1325 - Phone
- (908) 352-8375
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL05426300 | NJ | Primary |
Addresses
Primary practice location
655 Westfield Ave
Elizabeth, NJ 07208-1325
Mailing address
71 Webster St
Irvington, NJ 07111-2813
Phone (973) 375-0214
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL05426300 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922123736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 WEBSTER ST",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071112813",
"telephone_number": "973-375-0214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 WESTFIELD AVE",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072081325",
"telephone_number": "908-352-8375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADRIEN",
"first_name": "KERLANDRE",
"name_prefix": "Miss",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL05426300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.