Individual provider Active NPI

Cornelia Sherman, LCSW

  • Clinical Social Worker
  • Clifton, NJ
National Provider Identifier
1083151724
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085056-1 Issued in NY
Practice address
1135 Clifton Ave Ste 103
Clifton, NJ 07013-3643
Phone
(973) 978-7188
NPI assigned
Jan 19, 2017
Last updated
Apr 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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 085056-1 NY Primary

Addresses

Primary practice location

1135 Clifton Ave Ste 103
Clifton, NJ 07013-3643

Mailing address

1135 Clifton Ave Ste 103
Clifton, NJ 07013-3643
Phone (973) 978-7188

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
I20170524001099 NJ Practitioner - Clinical Social Worker 1850668716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Be Well Psychotherapy LLCGroup PAC ID 0042640807, 7 clinicians

Practice addresses (Care Compare)

175 Fairfield Ave
Suite 1C
West Caldwell, NJ 07006-6415
Phone (973) 886-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085056-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care Therapy LLC Clinical CurrentSince Apr 10, 2017 Accepting new patients
Be Well Psychotherapy, LLC CurrentSince Apr 15, 2020 Accepting new patients
Mariam Rothfritz, PH.D. and Associates Past Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

175 Fairfield Ave
Ste 1C
West Caldwell, NJ 07006
Phone (201) 306-4374

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1083151724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 CLIFTON AVE STE 103",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133643",
            "telephone_number": "973-978-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 CLIFTON AVE STE 103",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133643",
            "telephone_number": "973-978-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "CORNELIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085056-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.