Active NPI
Heather Flaherty, MSW, LSW
- Clinical Social Worker
- Ridgewood, NJ
National Provider Identifier
1063193787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SL06948300
- Practice address
- 20 Wilsey SQ
Ridgewood, NJ 07450-3793 - Phone
- (201) 409-0393
- NPI assigned
- Jul 26, 2023
- Last updated
- Jul 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SL06948300 | NJ | Primary |
Addresses
Primary practice location
20 Wilsey SQ
Ridgewood, NJ 07450-3793
Mailing address
6 Altamont CT Apt 11
Morristown, NJ 07960-5326
Other practice location 1
128 S Euclid Ave
Westfield, NJ 07090-2130
Phone (908) 509-8336
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 |
|---|---|---|---|
| 44SL06948300 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690329600000",
"number": "1063193787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 ALTAMONT CT APT 11",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079605326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 WILSEY SQ",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074503793",
"telephone_number": "201-409-0393"
}
],
"practiceLocations": [
{
"address_1": "128 S Euclid Ave",
"address_purpose": "LOCATION",
"city": "Westfield",
"state": "NJ",
"postal_code": "070902130",
"country_code": "US",
"telephone_number": "908-509-8336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLAHERTY",
"first_name": "HEATHER",
"credential": "MSW, LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-26",
"last_updated": "2023-07-26",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SL06948300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.