Carly Landicino

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06901600 Issued in NJ

Practice address

855 Somerset Ave
Lakewood, NJ 08701-2127

Phone

(732) 905-3500

NPI assigned

Feb 17, 2023

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 17, 2023.

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1992403166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2036",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087018036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 SOMERSET AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012127",
            "telephone_number": "732-905-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDICINO",
        "first_name": "CARLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06901600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0029807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zisel Lampert
• Ronald J Lancz, DPM
• Chaya M. Landau, MA
• Sussie Landau
• Sonia V Lander, CNM
• Gabriella G. Landman, L.C.S.W.
• Sarah Landman
• Bayla Landsman, CCC-SLP
• Chaya Sara Landwirt, MSOT
• Hessie Landynski, MS ED. BCBA

• All providers in Lakewood, NJ
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.