Individual provider Active NPI

Luz Stella Viola, LSW

  • Social Worker
  • Passaic, NJ
National Provider Identifier
1114534211
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06594300 Issued in NJ
Practice address
258 Main Ave
Passaic, NJ 07055-5742
Phone
(201) 614-4004
NPI assigned
Sep 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 1170465 NJ
Social Worker 104100000X 44SL06594300 NJ Primary

Addresses

Primary practice location

258 Main Ave
Passaic, NJ 07055-5742

Mailing address

198 Sand Rd
Fairfield, NJ 07004-1574
Phone (201) 749-0766

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

LicenseStateTypeSpecialty
44SL06594300NJMDSocial Worker
1170465NJMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1114534211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 SAND RD",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041574",
            "telephone_number": "201-749-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555742",
            "telephone_number": "201-614-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIOLA",
        "first_name": "LUZ",
        "middle_name": "STELLA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NJ",
            "license": "1170465",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06594300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.