Individual provider Active NPI

Wendi Beth Rothstein, LCSW

  • Clinical Social Worker
  • Westfield, NJ
National Provider Identifier
1003069386
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01434100 Issued in NJ
Practice address
111 Quimby St
Suite 10
Westfield, NJ 07090-2185
Phone
(908) 654-1117
Fax
(908) 755-0888
NPI assigned
Oct 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC01434100 NJ Primary

Addresses

Primary practice location

111 Quimby St
Suite 10
Westfield, NJ 07090-2185

Mailing address

111 Quimby St
Suite 10
Westfield, NJ 07090-2185
Phone (908) 654-1117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260310004879 NJ Practitioner - Clinical Social Worker 5698258457 Practice locations: Westfield, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 Quimby St
Suite 5
Westfield, NJ 07090-2185

111 Quimby St
Suite 5
Westfield, NJ 07090-5106
Phone (908) 654-1117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC01434100NJMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1003069386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 QUIMBY ST",
            "address_2": "SUITE 10",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902185",
            "telephone_number": "908-654-1117",
            "fax_number": "908-755-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 QUIMBY ST",
            "address_2": "SUITE 10",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902185",
            "telephone_number": "908-654-1117",
            "fax_number": "908-755-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHSTEIN",
        "first_name": "WENDI",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01434100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

Verify at the official NPI Registry.