MHS Mental Healthcare Associates LLC.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05206200 Issued in NJ

Legal business name

MHS MENTAL HEALTHCARE ASSOCIATES LLC.

Practice address

14-25 Plaza Rd Ste S22
Fair Lawn, NJ 07410-3591

Phone

(201) 873-8583

NPI assigned

Jan 22, 2009

Organization subpart

No

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

Authorized official

Name

Miss Francine Gordon, LCSWNPI 1124186457

Title

Owner

Phone

(201) 873-8583

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Francine Gordon, LCSW

  • Clinical Social Worker
  • Ridgewood, NJ
  • NPI 1124186457
  Medicare reassignment NPD Authorized official
• Doreen Maria Hernandez-Greco, LCSW, LCADC

  • Clinical Social Worker
  • Fair Lawn, NJ
  • NPI 1841415262
  NPD (past)
• Rosa Taccetta, LCSW

  • Clinical Social Worker
  • Fair Lawn, NJ
  • NPI 1942636311
  NPD (past)

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1104064682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14-25 PLAZA RD STE S22",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103591",
            "telephone_number": "201-873-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14-25 PLAZA RD STE S22",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103591",
            "telephone_number": "201-873-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHS MENTAL HEALTHCARE ASSOCIATES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-873-8583",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05206200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clara Isabel Mesevage-Makin, OTR/L
• Catherine Messina, R.D.
• Metropolitan Mental Health
• MFS Physical Therapy Assistive Technology P.C.
• MH at Fair Lawn LLC
• Manuela Maria Angela Miccoli, MSW
• Michael Rosenblum, DPM
• Virginia Mickolajczyk
• Midland Pain Management
• Mike Miron, M.D.,P.C.

• Clinical Social Worker in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.