Individual provider Active NPI

Allison Deborah Mandel-Giampietro

  • Social Worker
  • Passaic, NJ
National Provider Identifier
1982069050
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL05541400 Issued in NJ
Practice address
67 6TH Ave
2ND Floor
Passaic, NJ 07055-2137
Phone
(201) 562-9490
NPI assigned
Dec 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL05541400 NJ Primary

Addresses

Primary practice location

67 6TH Ave
2ND Floor
Passaic, NJ 07055-2137

Mailing address

67 6TH Ave
2ND Floor
Passaic, NJ 07055-2137
Phone (201) 562-9490

Other names 1

  • Miss Allison D Mandel Former name

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
I20190327000511 NJ Practitioner - Clinical Social Worker 0446590566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifebulb LLCGroup PAC ID 2062881162, 97 clinicians

Practice addresses (Care Compare)

505 Main St
Toms River, NJ 08753-7443
Phone (732) 272-0127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05541400NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebulb LLC CurrentSince Dec 1, 2024 Accepting new patients
Higher Ground Behavioral Health LLC PastSince Dec 1, 2022 Accepting new patients
Shine Medical of Ca PC Past Accepting new patients
Thrive Counseling LLC PastSince Sep 1, 2021 Accepting new patients
Modern Therapy, LLC Past Accepting new patients

Locations

505 Main St
Toms River, NJ 08753
Phone (732) 272-0127

Organizations & group practices 5

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": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1982069050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 6TH AVE",
            "address_2": "2ND FLOOR",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070552137",
            "telephone_number": "201-562-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 6TH AVE",
            "address_2": "2ND FLOOR",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070552137",
            "telephone_number": "201-562-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDEL-GIAMPIETRO",
        "first_name": "ALLISON",
        "middle_name": "DEBORAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05541400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "MANDEL",
            "middle_name": "D",
            "prefix": "MISS",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Passaic, NJ

Sources for this page

Verify at the official NPI Registry.