Organization Active NPI

Adult, Children and Family Counseling

  • Clinical Social Worker
  • Cranford, NJ
National Provider Identifier
1932510187
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00193300 Issued in NJ
Legal business name
ADULT, CHILDREN AND FAMILY COUNSELING
Practice address
45 South Ave W
Cranford, NJ 07016-2686
Phone
(908) 653-0005
Fax
(908) 653-1806
NPI assigned
May 9, 2014
Last updated
May 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carla Gagliano, M.S.W., L.C.S.W.NPI 1033261805
Title
Licensed Clinical Social Worker
Phone
(908) 653-0005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC00193300 NJ Primary

Addresses

Primary practice location

45 South Ave W
Cranford, NJ 07016-2686

Mailing address

45 South Ave W
Cranford, NJ 07016-2686
Phone (908) 653-0005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160407000017 NJ Part B Supplier - Clinic/Group Practice 0547568529 Receives reassigned benefits from 1 practitioner
Practice locations: Cranford, NJ

National Provider Directory

National Provider Directory

Locations

45 South Ave W
Cranford, NJ 07016
Phone (908) 497-0300

45 South Ave W
Ste 203
Cranford, NJ 07016
Phone (908) 653-0005

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1932510187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SOUTH AVE W",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162686",
            "telephone_number": "908-653-0005",
            "fax_number": "908-653-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SOUTH AVE W",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162686",
            "telephone_number": "908-653-0005",
            "fax_number": "908-653-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT, CHILDREN AND FAMILY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-09",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "GAGLIANO",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "908-653-0005",
        "authorized_official_credential": "M.S.W., L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00193300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.