Individual provider Active NPI

Joan Elizabeth Tomachek-Cerny, LCSW

  • Clinical Social Worker
  • Morristown, NJ
National Provider Identifier
1013041250
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SCO5198600 Issued in NJ
Practice address
43 Maple Ave
2ND Floor
Morristown, NJ 07960-7508
Phone
(973) 476-4443
Fax
(973) 292-3385
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 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 44SCO5198600 NJ Primary

Addresses

Primary practice location

43 Maple Ave
2ND Floor
Morristown, NJ 07960-7508

Mailing address

4 Rolling Ridge Rd
Randolph, NJ 07869-4532
Phone (973) 476-4443

Other names 1

  • Ms. Joan Elizabeth Tomachek-Cerny 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
I20081103000454 NJ Practitioner - Clinical Social Worker 3779642970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SCO5198600NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Psychotherapy Associates Limited Liability Company Clinical CurrentSince Dec 17, 2018 Accepting new patients

Locations

301 S Livingston Ave
Livingston, NJ 07039
Phone (973) 462-8584

301 S Livingston Ave
Fl 2
Livingston, NJ 07039
Phone (908) 898-1933

43 Maple Ave
Ste 2
Morristown, NJ 07960
Phone (973) 476-4443

43 Maple Ave
Morristown, NJ 07960
Phone (973) 539-1213

43 Maple Ave
Ste 1
Morristown, NJ 07960
Phone (805) 509-4495

Organizations & group practices 1

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1013041250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ROLLING RIDGE RD",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694532",
            "telephone_number": "973-476-4443",
            "fax_number": "973-292-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 MAPLE AVE",
            "address_2": "2ND FLOOR",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607508",
            "telephone_number": "973-476-4443",
            "fax_number": "973-292-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMACHEK-CERNY",
        "first_name": "JOAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SCO5198600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "TOMACHEK-CERNY",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.