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Deactivated NPI 1366012890 Deactivated / Inactive NPI Female Practitioner

Andrea Servil

Social Worker • Roselle, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Andrea Servil has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 28, 2021
NPI Deactivation Date September 23, 2021
Total Practice Duration ~1 Years of Practice (2021 – 2021)

Professional Overview & Biography Verified Profile Summary

Andrea Servil was a registered Social Worker practicing in Roselle, NJ. Throughout an active medical career spanning 1 years, Andrea Servil provided care at the practice location at 32E GARDEN DR until profile deactivation on 2021-09-23.

Practice Location & Contact Primary Location

Practice Address

32e Garden Dr

Roselle, NJ 072033816

Telephone 9084859472

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Roselle, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Roselle, NJ (4301 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-08-09
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License NJ 44SL06661900

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location August 09, 2022

Registered at 32E GARDEN DR, ROSELLE, NJ 072033816 (Tel: 9084859472)

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Updated Business Mailing Address August 09, 2022

Registered at 32E GARDEN DR, ROSELLE, NJ 072033816 (Tel: 9084859472)

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Provider Name / Credentials Updated August 09, 2022

Recorded as ANDREA SERVIL

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2022

Social Worker (License #44SL06661900 in NJ)

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NPI Profile Deactivated September 23, 2021

Record deactivated on September 23, 2021

NPI Profile Active June 28, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2021

Registered at 32E GARDEN DR, ROSELLE, NJ 072033816 (Tel: 9084859472)

📍
Updated Business Mailing Address June 28, 2021

Registered at 32E GARDEN DR, ROSELLE, NJ 072033816 (Tel: 9084859472)

👤
Provider Name / Credentials Updated June 28, 2021

Recorded as ANDREA SERVIL

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2021

Social Worker (License #44SL06661900 in NJ)

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Initial NPI Registration & Enumeration June 28, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366012890
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2021
Last Update: August 09, 2022
Deactivation Date: September 23, 2021
Sole Proprietor: No

Mailing Address

32e Garden Dr

Roselle, NJ 072033816

Phone: 9084859472

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.