Active NPI
Karen Ivy Lasser, M.S.W.
- Clinical Social Worker
- Tenafly, NJ
National Provider Identifier
1104028778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC00666500
- Practice address
- 5 Depeyster Ave
Tenafly, NJ 07670-2207 - Phone
- (201) 569-2600
- NPI assigned
- Jun 4, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC00666500 | NJ | Primary |
| Clinical Social Worker | 1041C0700X | R034788-1 | NY |
Addresses
Primary practice location
5 Depeyster Ave
Tenafly, NJ 07670-2207
Mailing address
5 Depeyster Ave
Tenafly, NJ 07670-2207
Phone (201) 569-2600
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 |
|---|---|---|---|
| 44SC00666500 | NJ | MD | Clinical Social Worker |
| R034788-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104028778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 DEPEYSTER AVE",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076702207",
"telephone_number": "201-569-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 DEPEYSTER AVE",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076702207",
"telephone_number": "201-569-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASSER",
"first_name": "KAREN",
"middle_name": "IVY",
"name_prefix": "Ms.",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC00666500",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R034788-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tenafly, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.