Michael L Rothberg, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05222900 Issued in NJ

Practice address

155 County Rd
Office #3
Cresskill, NJ 07626-2200

Phone

(201) 906-9049

Fax

(212) 645-3137

NPI assigned

Jun 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1033155056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 COUNTY RD",
            "address_2": "OFFICE #3",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262200",
            "telephone_number": "201-906-9049",
            "fax_number": "212-645-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 COUNTY RD",
            "address_2": "OFFICE #3",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262200",
            "telephone_number": "201-906-9049",
            "fax_number": "212-645-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHBERG",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05222900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "305495",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "72142700",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "300235859",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3175428",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Reisner, DDS
• Relo Birth LLC
• Doron Ringler, DMD, MD
• Julia Ringler, D.M.D.
• Nikolas Rivera, DPT
• William Rothlein, MT
• Anne Rothman, PH.D.
• Lori J. Rubin, PH.D.
• Russell F Guba Jr MD
• Tara Ann Sager, PH.D.

• Clinical Social Worker in Cresskill, NJ
• Providers in Cresskill, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.