Individual provider Active NPI

Daniel J Smith, LCSW LCADC

  • Clinical Social Worker
  • Park Ridge, NJ
National Provider Identifier
1073146478
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05348800 Issued in NJ
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

Updated by the provider on Feb 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260216000376 NJ Practitioner - Clinical Social Worker 8820578214 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
37LC00138400NJMDAddiction (Substance Use Disorder) Counselor
44SC05348800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
City of Passaic Current Accepting new patients
Care Plus NJ, Inc CurrentSince Jan 5, 2026 Accepting new patients
City of Passaic/ Passaic Alliance Current Accepting new patients
Care Plus NJ Inc. CurrentSince Jan 5, 2026 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.

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

Verify at the official NPI Registry.