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Sevil H Modeste

Social Worker β€’ Maplewood, NJ

Active NPI 1780209171 Individual Practitioner Female Practitioner
Practice location in NPPES

2040 Millburn Ave Ste 102
Maplewood, NJ 070403716

Call 7327622406 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2040 Millburn Ave Ste 102

Maplewood, NJ 070403716

Telephone 7327622406
Organization at the Same NPPES Address or Phone
Roots At Crossroads Counseling Llc Facility NPI 1043964091

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Maplewood and New Jersey

16 active clinicians are listed under Social Worker with a practice address in Maplewood, NJ (4,242 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Maplewood

0% of these 16 clinicians have the CMS telehealth indicator.

0% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-09-09
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES NJ 44SL06432300

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES NJ 37LC00317600
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location September 09, 2022

Registered at 2040 MILLBURN AVE STE 102, MAPLEWOOD, NJ 070403716 (Tel: 7327622406)

πŸ“
Updated Business Mailing Address September 09, 2022

Registered at 2040 MILLBURN AVE STE 102, MAPLEWOOD, NJ 070403716

πŸ“
Updated Practice Location April 19, 2022

Registered at 2668 MORRIS AVE UNIT 112, UNION, NJ 070835607 (Tel: 7327622406)

πŸ“
Updated Business Mailing Address April 19, 2022

Registered at 2668 MORRIS AVE UNIT 112, UNION, NJ 070835607

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2022

Counselor (license number reported to NPPES: NJ 37LC00317600)

βœ…
NPI Profile Active June 11, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 11, 2020

Registered at 80 MAIN ST, WEST ORANGE, NJ 070525460 (Tel: 7327622406)

πŸ“
Business Mailing Address (Initial Record) June 11, 2020

Registered at PO BOX 3055, EAST ORANGE, NJ 070193055

πŸ‘€
Provider Name / Credentials (Initial Record) June 11, 2020

Recorded as SEVIL MODESTE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2020

Social Worker (license number reported to NPPES: NJ 44SL06432300)

🟒
Initial NPI Registration & Enumeration June 11, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1780209171
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2020
Last Update: September 09, 2022
Sole Proprietor: Yes

Mailing Address

2040 Millburn Ave Ste 102

Maplewood, NJ 070403716

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.