Active NPI
Daniel J Smith, LCSW LCADC
- Clinical Social Worker
- Park Ridge, NJ
National Provider Identifier
1073146478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05348800
- Practice address
- 52 Park Ave
Park Ridge, NJ 07656-1277 - Phone
- (201) 822-1877
- NPI assigned
- Feb 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00138400 | NJ | |
| Clinical Social Worker | 1041C0700X | 44SC05348800 | NJ | Primary |
Addresses
Primary practice location
52 Park Ave
Park Ridge, NJ 07656-1277
Mailing address
16 Forest Ave
Montvale, NJ 07645-2205
Phone (201) 746-0120
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
610 Valley Health PLZ
Paramus, NJ 07652-3607
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00138400 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 44SC05348800 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Passaic | Current | Accepting new patients | |
| Care Plus NJ, Inc | Current | Accepting new patients | |
| City of Passaic/ Passaic Alliance | Current | Accepting new patients | |
| Care Plus NJ Inc. | Current | Accepting new patients |
Locations
610 Valley Health Plz
Paramus, NJ 07652
Phone (201) 797-2660
Organizations & group practices 5
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.
-
- Community/Behavioral Health Agency
- Paramus, NJ
- NPI 1356394555
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Paramus, NJ
- NPI 1841679560
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Morris Plains, NJ
- NPI 1902655970
-
- Land Ambulance
- Passaic, NJ
- NPI 1770686321
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Passaic, NJ
- NPI 1235457623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581638400000",
"number": "1073146478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 FOREST AVE",
"city": "MONTVALE",
"state": "NJ",
"postal_code": "076452205",
"telephone_number": "201-746-0120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 PARK AVE",
"city": "PARK RIDGE",
"state": "NJ",
"postal_code": "076561277",
"telephone_number": "201-822-1877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DANIEL",
"middle_name": "J",
"credential": "LCSW LCADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-14",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00138400",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05348800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park Ridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.