Billie Avery Iris Breda, LCSW
NPI 1255902391ActiveIndividual· Social Worker· Sparta, NJ
Social Worker (LCSW) with Lakeside Counseling Associates, LLC, practicing in Sparta, New Jersey. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1255902391 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Jul 9, 2021 |
| Last updated in NPPES | Jan 14, 2025 |
| Certified by provider | Jan 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 44SC06378500 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NJ) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Lakeside Counseling Associates, LLCNewton, NJ · 28 clinicians
Other social workers in Sparta
- 1629127907
- 1851445233
- 1356003230
- 1407089253
- 1902522139
- 1134039399
- 1891957304
- 1487011482
- 1255196044
- 1316888217
- 1790120723
- 1700917820
All 18 social workers in Sparta · All social workers in New Jersey