Individual provider Active NPI

Cristina Primerano, LCSW

  • Clinical Social Worker
  • Flemington, NJ
National Provider Identifier
1982061735
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06109400 Issued in NJ
Practice address
5 Walter Foran Blvd Suite 2002
Flemington, NJ 08822
Phone
(503) 893-8667
NPI assigned
Jan 25, 2016
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L10312 OR
Clinical Social Worker 1041C0700X 44SC06109400 NJ Primary

Addresses

Primary practice location

5 Walter Foran Blvd Suite 2002
Flemington, NJ 08822

Mailing address

9450 SW Gemini Dr Ste 26332
Beaverton, OR 97008-7105
Phone (503) 893-8667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, VT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230202000128 NJ Practitioner - Clinical Social Worker 2264852482 Reassigns benefits to 2 organizations
I20260409000364 VT Practitioner - Clinical Social Worker 2264852482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06109400NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Into the Moment LLC CurrentSince Feb 4, 2024 Accepting new patients
Grow Healthcare Group of New Jersey PC Mental Health CurrentSince Dec 7, 2023 Accepting new patients
Columbiacare Services Past Accepting new patients
Columbiacare Services Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1982061735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9450 SW GEMINI DR STE 26332",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087105",
            "telephone_number": "503-893-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WALTER FORAN BLVD SUITE 2002",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "08822",
            "telephone_number": "503-893-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIMERANO",
        "first_name": "CRISTINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2024-02-01",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10312",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06109400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.