MS. GRACE BARBARA DOCTOROW LCSW, BCD NPI 1023293842

Social Worker (Clinical) in Ocean, NJ

NPI 1023293842 Individual Female Years of Experience 44 Social Worker Clinical PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About GRACE DOCTOROW

Grace Doctorow is a provider established in Ocean, New Jersey and her medical specialization is social worker (clinical) with more than 44 years of experience. The NPI number of Grace Doctorow is 1023293842 and was assigned on December 2007. The practitioner's primary taxonomy code is 1041C0700X with license number 44SC01025100 (NJ). The provider is registered as an individual and her NPI record was last updated 10 years ago.

A clinical social worker like Ms. Grace Barbara Doctorow Lcsw, Bcd is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Grace Doctorow is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME)

Grace Doctorow is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: documentation of current medications in the medical record. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1023293842

Provider NameMS. GRACE BARBARA DOCTOROW LCSW, BCD
Provider Location Address1205 HWY 35 OCEAN, NJ 07712
Provider Mailing Address1205 HWY 35 OCEAN, NJ 07712
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1977
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date12-31-2007
Last Update Date10-20-2011


Primary Taxonomy

Taxonomy Code1041C0700X
ClassificationSocial Worker
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.44SC01025100
License StateNJ
Taxonomy DescriptionA social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Business Address

MS. GRACE BARBARA DOCTOROW LCSW, BCD
1205 HWY 35
OCEAN, NJ
ZIP 07712
Phone: (732) 857-5346
Fax: (732) 517-0583

Get Directions


Mailing Address

MS. GRACE BARBARA DOCTOROW LCSW, BCD
1205 HWY 35
OCEAN, NJ
ZIP 07712
Phone: (732) 857-5346
Fax: (732) 517-0583



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID9234176066
PECOS Enrollment IDI20050413000865
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)No
Eligible order / refer Power Mobility DevicesNo

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Documentation of Current Medications in the Medical Record 100% 193

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
198610MEDICARE PIN (08)NJ
640692MEDICARE PIN (08)NJ

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023508686NJ DENTAL PARTNERS ONE LLC
Organization
Dentist (General Practice)1205 HWY 35
OCEAN, NJ 07712
(732) 686-6500
1083931091DR. RACHEL WOLK DMD
Individual
Dentist (General Practice)1205 HWY 35
OCEAN, NJ 07712
(732) 245-4779
1265903959ANCHOR COUNSELING SERVICES OF NEW JERSEY
Organization
Counselor (Professional)1205 HWY 35
OCEAN, NJ 07712
(732) 618-1909
1346850690BERLEY DENTAL LLC
Organization
Dentist1205 HWY 35
OCEAN, NJ 07712
(732) 531-8020
1407213481MISS SALLY CASTELLANO LCSW
Individual
Counselor (Mental Health)1205 HWY 35
OCEAN, NJ 07712
(732) 556-7005
1730511650JENNIFER ROBERTSON, LLC
Organization
Counselor (Professional)1205 HWY 35
OCEAN, NJ 07712
(732) 899-2825

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.