DONNA MARIE CICCONE LCSW
NPI 1033241625
Social Worker - Clinical in Montclair, NJ

NPI Status: Active since March 10, 2007

Contact Information

11 S FULLERTON AVE
MONTCLAIR, NJ
ZIP 07042
Phone: (973) 744-8400
Fax: (973) 284-1195

NPI Profile Information
Primary Taxonomy
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Social Worker
Clinical
Opted-Out Medicare

About DONNA CICCONE

This page provides the complete NPI Profile along with additional information for Donna Ciccone, a provider established in Montclair, New Jersey with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1033241625 assigned on March 2007. The practitioner's primary taxonomy code is 1041C0700X with license number 44SC04532400 (NJ). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI: 1033241625
Provider Name: DONNA MARIE CICCONE LCSW
Gender: Female
Entity Type: Individual
Location Address: 11 S FULLERTON AVE MONTCLAIR, NJ 07042
Location Phone: (973) 744-8400
Location Fax: (973) 284-1195
Mailing Address: 11 S FULLERTON AVE MONTCLAIR, NJ 07042
Mailing Phone: (973) 744-8400
Mailing Fax: (973) 284-1195
Is Sole Proprietor?: Yes
Enumeration Date: 03-10-2007
Last Update Date: 07-08-2007
Code Navigator

A clinical social worker like Donna Ciccone 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.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Donna Ciccone opted out of Medicare effective on 06-27-2023 until 06-27-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Social Worker Clinical
Taxonomy Code: 1041C0700X
Type: Behavioral Health & Social Service Providers
License No.: 44SC04532400
License State: NJ
Taxonomy Description: A 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.

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Opted-Out of Medicare? Yes
Opt-Out Effective Date: 06-27-2023
Opt-Out End Date: 06-27-2025
Eligible to Order and Refer? No

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	0	3	3	2	4	1	6	2	5
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	6	3	4	4	2	6	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 4 + 4 + 2 + 6 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5									5

The NPI number 1033241625 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 8 providers are registered at the same or nearby location.

MRS. HARRIET M POWER LCSW

Social Worker

(Clinical)