Individual provider Active NPI

Andreia Dasilva, LCSW

  • Clinical Social Worker
  • Montclair, NJ
National Provider Identifier
1962876698
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05281800 Issued in NJ
Practice address
232 Claremont Ave
Apt 5
Montclair, NJ 07042-2862
Phone
(973) 699-2976
NPI assigned
Nov 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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 44SC05281800 NJ Primary

Addresses

Primary practice location

232 Claremont Ave
Apt 5
Montclair, NJ 07042-2862

Mailing address

232 Claremont Ave
Apt 5
Montclair, NJ 07042-2862
Phone (973) 699-2976

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
I20151214000748 NJ Practitioner - Clinical Social Worker 8527369750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vicki Barnett Psy D PCGroup PAC ID 4183645575, 15 clinicians

Practice addresses (Care Compare)

151 Madison Ave
Morristown, NJ 07960-6016
Phone (973) 656-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vicki Barnett Psy D PC CurrentSince Oct 25, 2015 Accepting new patients

Locations

525 Monmouth St
Jersey City, NJ 07302
Phone (201) 653-8800

1 Madison Ave
Morristown, NJ 07960
Phone (973) 285-2055

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": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1962876698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 CLAREMONT AVE",
            "address_2": "APT 5",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422862",
            "telephone_number": "973-699-2976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 CLAREMONT AVE",
            "address_2": "APT 5",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422862",
            "telephone_number": "973-699-2976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASILVA",
        "first_name": "ANDREIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05281800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.