Individual provider Active NPI

Laura Janis Huberman, LCSW

  • Clinical Social Worker
  • Linwood, NJ
National Provider Identifier
1043377542
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00287000 Issued in NJ
Practice address
2051 Arbor Dr
Linwood, NJ 08221-2151
Phone
(609) 926-1500
Fax
(609) 926-5037
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 44SC00287000 NJ Primary

Addresses

Primary practice location

2051 Arbor Dr
Linwood, NJ 08221-2151

Mailing address

2051 Arbor Dr
Linwood, NJ 08221-2151
Phone (609) 926-1500

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
I20090130000038 NJ Practitioner - Clinical Social Worker 7315001724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2051 Arbor Dr
Linwood, NJ 08221-2151
Phone (609) 926-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC00287000NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Janis Huberman, LLC Clinical CurrentSince Nov 26, 2008 Accepting new patients

Locations

2106 New Rd
Ste E1
Linwood, NJ 08221
Phone (609) 926-8000

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1043377542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 ARBOR DR",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212151",
            "telephone_number": "609-926-1500",
            "fax_number": "609-926-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 ARBOR DR",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212151",
            "telephone_number": "609-926-1500",
            "fax_number": "609-926-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBERMAN",
        "first_name": "LAURA",
        "middle_name": "JANIS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00287000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

Verify at the official NPI Registry.