Organization Active NPI

Caroline Gojcz Licsw LLC

  • Social Worker
  • New Providence, NJ
National Provider Identifier
1023701547
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
CAROLINE GOJCZ LICSW LLC
Practice address
121 Chanlon Rd
New Providence, NJ 07974-1543
Phone
(401) 250-0079
NPI assigned
May 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Caroline Gojcz, LICSWNPI 1881862423
Title
Clinician
Phone
(401) 250-0079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

121 Chanlon Rd
New Providence, NJ 07974-1543

Mailing address

396 Juniper St
East Providence, RI 02914-4972
Phone (401) 250-0079

Other identifiers 1

IdentifierTypeStateIssuer
120943-16-88-668-471MedicaidRI

National Provider Directory

National Provider Directory
Tax ID family
Caroline Gojcz Licsw LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

121 Chanlon Rd
New Providence, NJ 07974
Phone (973) 299-9954

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1023701547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 JUNIPER ST",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029144972",
            "telephone_number": "401-250-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CHANLON RD",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741543",
            "telephone_number": "401-250-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINE GOJCZ LICSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "GOJCZ",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "401-250-0079",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120943-16-88-668-471",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Providence, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.