Susan Korn, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC08642 Issued in NJ

Practice address

103 Park St Ste 2a
Montclair, NJ 07042-2935

Phone

(973) 746-1065

Fax

(973) 744-1188

NPI assigned

Jan 30, 2007

Sex

Female

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 1

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

Specialty

Clinical Social Worker

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1063559185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PARK ST STE 2A",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422935",
            "telephone_number": "973-746-1065",
            "fax_number": "973-744-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PARK ST STE 2A",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422935",
            "telephone_number": "973-746-1065",
            "fax_number": "973-744-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORN",
        "first_name": "SUSAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC08642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID",
            "identifier": "P672728",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Kolibas, ATC, LAT
• Valentina Kolker, RPA-C
• Lisa K Kolton, LCSW
• Rosemarie Kopacsi, PHD
• Kristin Korab Reynolds, LCSW, LCADC
• Tonya Denise Korsah
• Jude Thomas Koshy, PHARM.D.
• Radha Kotamraju
• Judith Kottick, LCSW
• Ljiljana Kovacevic, CRNA

• Clinical Social Worker in Montclair, NJ
• Providers in Montclair, 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 Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.