Individual provider Active NPI

Yudelka Columna-Grajewski, LCSW, MSW

  • Clinical Social Worker
  • Hackettstown, NJ
National Provider Identifier
1003230392
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05843800 Issued in NJ
Practice address
101 Mountain CT Ste 101B
Hackettstown, NJ 07840-2300
Phone
(908) 620-6336
Fax
(844) 236-1502
NPI assigned
Feb 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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 44SC05843800 NJ Primary

Addresses

Primary practice location

101 Mountain CT Ste 101B
Hackettstown, NJ 07840-2300

Mailing address

50 South St
Andover, NJ 07821-5503
Phone (732) 710-6875

Other names 1

  • Ms. Yudelka Columna-Cordero, Columna-Guzman Former name

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
I20191127000688 NJ Practitioner - Clinical Social Worker 4183956550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

101 Mountain CT
Suite 101B
Hackettstown, NJ 07840-2300
Phone (215) 688-5116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Partners Counseling Inc. Clinical Current Accepting new patients
Healing Road Counseling Services, LLC Clinical CurrentSince Sep 25, 2019 Accepting new patients
Healing Partners Counseling Inc. Clinical Current Accepting new patients
Zufall Health Center,Inc Past Accepting new patients

Locations

101 Mountain Ct
Ste 101B
Hackettstown, NJ 07840
Phone (215) 688-5116

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1003230392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SOUTH ST",
            "city": "ANDOVER",
            "state": "NJ",
            "postal_code": "078215503",
            "telephone_number": "732-710-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MOUNTAIN CT STE 101B",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402300",
            "telephone_number": "908-620-6336",
            "fax_number": "844-236-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLUMNA-GRAJEWSKI",
        "first_name": "YUDELKA",
        "name_prefix": "Ms.",
        "credential": "LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-07",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05843800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YUDELKA",
            "last_name": "COLUMNA-CORDERO, COLUMNA-GUZMAN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hackettstown, NJ

Sources for this page

Verify at the official NPI Registry.