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250 HIGHLAND AVE LLC
NPI 1093579039
Social Worker - Clinical in Maplewood, NJ

Active since February 09, 2024
2115 MILLBURN AVENUE, MAPLEWOOD, NJ 07040(973) 592-1512 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About 250 Highland Ave Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

250 HIGHLAND AVE LLC (NPI 1093579039) is a healthcare organization registered as a clinical in Maplewood, New Jersey and active in the NPI registry since February 2024. The organization lists William Carr, Owner, as its authorized official.

NPPES Registry Identity

NPI1093579039
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business Name250 HIGHLAND AVE LLC
Location Address2115 MILLBURN AVENUEMaplewood, NJ 07040
Mailing Address41 Watchung Plz Ste 189Montclair, NJ 07042-4117 · (973) 592-1512
Phone(973) 592-1512
Organization SubpartNo
Authorized OfficialWilliam CarrOwner · (973) 592-1512
Enumeration DateFebruary 9, 2024
NPPES CertifiedFebruary 8, 2024
✔ NPI 1093579039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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.
2115 MILLBURN AVENUE, Maplewood, NJ 07040
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

250 Highland Ave Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to 250 Highland Ave LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

William Carr, LCSW
Clinical Social Worker
NPI 1265871669
2130 MILLBURN AVE D1
Maplewood, NJ 07040
(973) 592-1512
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 250 Highland Ave LLC's NPI number?

The NPI number for 250 Highland Ave LLC is 1093579039. It was assigned to this organization in the NPPES registry on February 9, 2024.

Where is 250 Highland Ave LLC located?

250 Highland Ave LLC is located at 2115 Millburn Avenue, Maplewood, NJ 07040. The listed phone number is (973) 592-1512.

What is 250 Highland Ave LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is 250 Highland Ave LLC enrolled in Medicare?

Yes. 250 Highland Ave LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 250 Highland Ave LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to 250 Highland Ave LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for 250 Highland Ave LLC was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.