Individual provider Active NPI

Etti Miriram Hochberg Schaap, LCSW

  • Clinical Social Worker
  • Teaneck, NJ
National Provider Identifier
1043870108
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05861400 Issued in NJ
Practice address
Jewish Family & Children'S Services of Northern New Jer
1485 Teaneck Road
Teaneck, NJ 07666
Phone
(201) 837-9090
Fax
(201) 837-9393
NPI assigned
Jun 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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 44SC05861400 NJ Primary

Addresses

Primary practice location

Jewish Family & Children'S Services of Northern New Jer
1485 Teaneck Road
Teaneck, NJ 07666

Mailing address

Jewish Family & Children'S Services of Northern New Jer
1485 Teaneck Road
Teaneck, NJ 07666
Phone (201) 837-9090

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
I20190802000953 NJ Practitioner - Clinical Social Worker 8628304318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1485 Teaneck Rd
Teaneck, NJ 07666-3626
Phone (201) 837-9090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Children'S Services of Northern New Jersey, Inc. Clinical CurrentSince Jul 1, 2019 Accepting new patients

Locations

1485 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 837-9090

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": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1043870108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JEWISH FAMILY & CHILDREN'S SERVICES OF NORTHERN NEW JER",
            "address_2": "1485 TEANECK ROAD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "07666",
            "telephone_number": "201-837-9090",
            "fax_number": "201-837-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JEWISH FAMILY & CHILDREN'S SERVICES OF NORTHERN NEW JER",
            "address_2": "1485 TEANECK ROAD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "07666",
            "telephone_number": "201-837-9090",
            "fax_number": "201-837-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCHBERG SCHAAP",
        "first_name": "ETTI",
        "middle_name": "MIRIRAM",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05861400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.