E. L. Slater, LCSW LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

44SC05453500 Issued in NJ

Legal business name

E. L. SLATER, LCSW LLC

Practice address

6808 Bergenline Avenue
Suite 201
Guttenber, NJ 07093

Phone

(201) 840-9047

NPI assigned

May 21, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Edith Slater, LCSWNPI 1952656969

Title

Provider

Phone

(201) 840-9047

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Edith L Slater, LCSW

  • Clinical Social Worker
  • Cliffside Park, NJ
  • NPI 1952656969
  NPD (past) Authorized official

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1124464862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 KNOX AVENUE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "07010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6808 BERGENLINE AVENUE",
            "address_2": "SUITE 201",
            "city": "GUTTENBER",
            "state": "NJ",
            "postal_code": "07093",
            "telephone_number": "201-840-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. L. SLATER, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "201-840-9047",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05453500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268869",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.