Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Billie Avery Iris Breda, LCSW

Individual provider Social Worker · NPI 1255902391

Billie Avery Iris Breda, LCSW is a Clinical Social Worker in Sparta, New Jersey. Qualified in 2020, 6 years ago. Practices with Lakeside Counseling Associates, LLC, a 25-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
6
Licensed in
NJ
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

191 Woodport Rd Ste 206
Sparta, NJ 07871-2641
Phone: (973) 862-6066
Fax: (973) 862-6048
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 44SC06378500 (NJ)

Record details

NPI number1255902391
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 9, 2021
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lakeside Counseling Associates, Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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