Benedetta Versaci, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05397900 Issued in NJ

Practice address

65 Ramapo Valley Rd Ste 102
Mahwah, NJ 07430-1182

Phone

(973) 530-4155

Fax

(973) 273-4797

NPI assigned

Jul 1, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Don Digiovine, PH.D. LLC

  • Clinical Child & Adolescent Psychologist
  • North Haledon, NJ
  • NPI 1801099809
  NPD (past)
• Sherman Counseling and Consulting, Inc.

  • Clinical Social Worker
  • Rochelle Park, NJ
  • NPI 1306167457
  NPD (past)

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562371200000",
    "number": "1982832713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 RAMAPO VALLEY RD STE 102",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074301182",
            "telephone_number": "973-530-4155",
            "fax_number": "973-273-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 RAMAPO VALLEY RD STE 102",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074301182",
            "telephone_number": "973-530-4155",
            "fax_number": "973-273-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERSACI",
        "first_name": "BENEDETTA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2019-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05397900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0231631",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ BOARD OF SOCIAL WORKERS LICENSE NO.",
            "identifier": "44SC05397900",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "187739",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "244195",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn Van Schaik, M.S., CCC-SLP
• Yisel Vasquez, FNP
• Brenda Velarde, OTR
• Kelly E. Venezia Crilly, LAC, NCC
• Veena Verghese, O.D.
• Virginia de Guzman MD Limited Liability Company
• Walgreen Co .
• Adam Wechsler
• Jeffrey Wechsler, D.D.S.
• Michelle L Weiss, PT,DPT

• Clinical Social Worker in Mahwah, NJ
• Providers in Mahwah, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.