PRISCILLA J. CARMONA LCSW
NPI 1306524921
Social Worker - Clinical in Jersey City, NJ

Active since July 05, 2023PECOS EnrolledAccepts Medicare Assignment
638 NEWARK AVE, JERSEY CITY, NJ 07306(201) 893-6397 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Priscilla J. Carmona Lcsw NPPES

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

PRISCILLA J. CARMONA LCSW (NPI 1306524921) is an individual clinical provider in Jersey City, New Jersey, licensed in New Jersey (44SC06233400) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1306524921
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePRISCILLA J. CARMONACredential: LCSW
Location Address638 NEWARK AVEJersey City, NJ 07306-2306
Mailing Address401 Wood Ridge Ave # BWood Ridge, NJ 07075-1531 · (201) 893-6397
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 5, 2023
NPPES CertifiedJuly 5, 2023
✔ NPI 1306524921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC06233400
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.
638 NEWARK AVE, Jersey City, NJ 07306

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Priscilla J. Carmona Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486018561
PECOS Enrollment IDI20230907002150
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Priscilla Carmona reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
638 NEWARK AVE
Jersey City, NJ 07306
  • Reassigned Medicare billing, New Jersey enrollment
Clinic/Center
120 CHESTNUT ST
Ridgewood, NJ 07450
  • Reassigned Medicare billing, New Jersey enrollment
  • 33 clinicians in this Medicare group
Clinical
27 RANDOLPH RD
Howell, NJ 07731
  • Reassigned Medicare billing, New Jersey enrollment
  • 58 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07306 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.84 – $190.92
Typical copayment $0.00 (range $15.96 – $47.73)
Most-billed visit code NA
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
638 NEWARK AVE
JERSEY CITY, NJ 07306
Counselor (Professional)
638 NEWARK AVE
JERSEY CITY, NJ 07306
Social Worker (Clinical)
638 NEWARK AVE
JERSEY CITY, NJ 07306
Counselor (Mental Health)
638 NEWARK AVE
JERSEY CITY, NJ 07306
Social Worker
638 NEWARK AVE
JERSEY CITY, NJ 07306
Psychologist (Group Psychotherapy)
638 NEWARK AVE
JERSEY CITY, NJ 07306

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 Priscilla Carmona's NPI number?

The NPI number for Priscilla Carmona is 1306524921. It was assigned to this individual provider in the NPPES registry on July 5, 2023.

Where is Priscilla Carmona located?

Priscilla Carmona practices at 638 Newark Ave, Jersey City, NJ 07306. The listed phone number is (201) 893-6397.

What is Priscilla Carmona's specialty?

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

Is Priscilla Carmona enrolled in Medicare?

Yes. Priscilla Carmona is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Priscilla Carmona's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priscilla Carmona reassigns Medicare benefits to 3 organizations: Rios And Associates Therapeutic Solutions, LLC (Jersey City, NJ), West Bergen Mental Healthcare, Inc. (Ridgewood, NJ) and Supportive Care Psychology Of Nj PC (Howell, NJ). Each 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 Priscilla Carmona's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priscilla Carmona accept?

Health plans from Oscar Health list Priscilla Carmona as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Priscilla Carmona was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.