Active NPI
Michelle Mendelson
- Social Worker
- Nutley, NJ
National Provider Identifier
1083315386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL04950300
- Practice address
- 349 Franklin Ave Ste 202
Nutley, NJ 07110-1645 - Phone
- (973) 931-1234
- NPI assigned
- Mar 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL04950300 | NJ | Primary |
Addresses
Primary practice location
349 Franklin Ave Ste 202
Nutley, NJ 07110-1645
Mailing address
349 Franklin Ave Ste 202
Nutley, NJ 07110-1645
Phone (973) 931-1234
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL04950300 | NJ | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sherry Schwartz, Social Worker | Single Specialty | Current | Accepting new patients |
Locations
349 Franklin Ave
Ste 202
Nutley, NJ 07110
Phone (917) 863-0759
Organizations & group practices 1
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": "1678752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1083315386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 FRANKLIN AVE STE 202",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071101645",
"telephone_number": "973-931-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 FRANKLIN AVE STE 202",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071101645",
"telephone_number": "973-931-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDELSON",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-14",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL04950300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nutley, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.