Individual provider Active NPI

Paula Metzger, LCSW

  • Clinical Social Worker
  • Ridgewood, NJ
National Provider Identifier
1083921027
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05436800 Issued in NJ
Practice address
1156 E Ridgewood Ave
Ste 11
Ridgewood, NJ 07450-3927
Phone
(201) 934-1160
Fax
(201) 934-0019
NPI assigned
Sep 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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 44SC05436800 NJ Primary

Addresses

Primary practice location

1156 E Ridgewood Ave
Ste 11
Ridgewood, NJ 07450-3927

Mailing address

1156 E Ridgewood Ave
Ste 11
Ridgewood, NJ 07450-3927
Phone (201) 602-4354

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
I20110411000301 NJ Practitioner - Clinical Social Worker 8426232760 Practice locations: Ridgewood, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1156 E Ridgewood Ave
Suite 11
Ridgewood, NJ 07450-3927
Phone (201) 602-4354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05436800NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1083921027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 E RIDGEWOOD AVE",
            "address_2": "STE 11",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503927",
            "telephone_number": "201-602-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 E RIDGEWOOD AVE",
            "address_2": "STE 11",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503927",
            "telephone_number": "201-934-1160",
            "fax_number": "201-934-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZGER",
        "first_name": "PAULA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05436800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.