Active NPI
Susan E Mendelson, LCSW
- Social Worker
- Scotch Plains, NJ
National Provider Identifier
1033696042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL04935700
- Practice address
- 1812 Front St
Scotch Plains, NJ 07076-1103 - Phone
- (190) 830-1090
- NPI assigned
- Jul 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL04935700 | NJ | Primary |
Addresses
Primary practice location
1812 Front St
Scotch Plains, NJ 07076-1103
Mailing address
200 Springfield Ave Apt 5003
Springfield, NJ 07081-1442
Phone (908) 451-9972
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL04935700 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1033696042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SPRINGFIELD AVE APT 5003",
"city": "SPRINGFIELD",
"state": "NJ",
"postal_code": "070811442",
"telephone_number": "908-451-9972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1812 FRONT ST",
"city": "SCOTCH PLAINS",
"state": "NJ",
"postal_code": "070761103",
"telephone_number": "190-830-1090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDELSON",
"first_name": "SUSAN",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-23",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL04935700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scotch Plains, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.