Individual provider Active NPI

Nadine Hajmohamed, LCSW

  • Clinical Social Worker
  • Ridgefield Park, NJ
National Provider Identifier
1073109484
Registry record updated Dec 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05958100 Issued in NJ
Practice address
24 Edison St
Ridgefield Park, NJ 07660-2252
Phone
(201) 674-8661
NPI assigned
Dec 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2020

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 44SC05958100 NJ Primary

Addresses

Primary practice location

24 Edison St
Ridgefield Park, NJ 07660-2252

Mailing address

24 Edison St
Ridgefield Park, NJ 07660-2252
Phone (201) 674-8661

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL nadine523@msn.com Direct

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

LicenseStateTypeSpecialty
44SC05958100NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1608336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608336000000",
    "number": "1073109484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 EDISON ST",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076602252",
            "telephone_number": "201-674-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 EDISON ST",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076602252",
            "telephone_number": "201-674-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJMOHAMED",
        "first_name": "NADINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-19",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05958100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "nadine523@msn.com",
            "affiliation": "N",
            "endpointDescription": "gmail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "e-mail",
            "address_1": "24 Edison St",
            "city": "Ridgefield Park",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076602252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ridgefield Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.