Individual provider Active NPI

Amy Knitzer, LCSW

  • Clinical Social Worker
  • Montclair, NJ
National Provider Identifier
1023536406
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05210700 Issued in NJ
Practice address
312 N Fullerton Ave
Montclair, NJ 07042-4144
Phone
(973) 978-3957
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 44SC05210700 NJ Primary

Addresses

Primary practice location

312 N Fullerton Ave
Montclair, NJ 07042-4144

Mailing address

312 N Fullerton Ave
Montclair, NJ 07042-4144
Phone (973) 978-3957

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
I20171023000617 NJ Practitioner - Clinical Social Worker 9638445489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Keith Golin PHD LLCGroup PAC ID 6608879226, 23 clinicians

Practice addresses (Care Compare)

103 Pleasant Valley Way
West Orange, NJ 07052-2905
Phone (888) 284-2034

22 Old Short Hills Rd
Suite 216
Livingston, NJ 07039-5605
Phone (888) 284-2034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05210700NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Keith Golin PHD LLC CurrentSince Sep 10, 2017 Accepting new patients
Keith Golin PHD LLC CurrentSince Sep 10, 2017 Accepting new patients

Locations

201 Crosswicks St
Bordentown, NJ 08505
Phone (609) 298-9960

22 Old Short Hills Rd
Ste 216
Livingston, NJ 07039
Phone (973) 994-3145

659 Eagle Rock Ave
Ste 4
West Orange, NJ 07052
Phone (855) 274-3395

103 Pleasant Valley Way
West Orange, NJ 07052
Phone (201) 407-5145

Organizations & group practices 2

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": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1023536406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N FULLERTON AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424144",
            "telephone_number": "973-978-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N FULLERTON AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424144",
            "telephone_number": "973-978-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNITZER",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05210700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.