Ellen Berman, LCSW
Individual provider Active NPI Clinical Social Worker · Jackson, NJ
NPI 1114005444 · NPPES record last updated Feb 6, 2015
Key facts
- NPI
- 1114005444
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC04310900 (NJ)
- Practice address
- 2290 W County Line Rd
Suite 206a
Jackson, NJ 08527-2267 - Phone
- (732) 370-5355
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC04310900 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellen Berman,LCSW | Clinical | Past |
Accepting new patients |
| Rutgers Health - Behavioral Health | Past | Accepting new patients | |
| Rutgers Health - Behavioral Health | Past | Accepting new patients | |
| Roslyn Blau LCSW LLC | Clinical | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/11216/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC04310900 | NJ | Yes |
Addresses
Primary practice location
2290 W County Line Rd
Suite 206a
Jackson, NJ 08527-2267
Mailing address
2290 W County Line Rd
Suite 206a
Jackson, NJ 08527-2267
Phone (732) 370-5355
Other providers in Jackson, NJ
- Rivka Tzvetta Berg
- Aaron Berger
- Faigy Berger
- Rachel Berger
- Yosef Berkovits
- Best Practices Bhom
- Miriam Bick
- Radhika Patel Birdi
- Hannah Birnbaum
- Stephen Blaisdell
All providers in Jackson, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.