Individual provider Active NPI

Cheryl Worzala-Grogin, L.C.S.W.

  • Clinical Social Worker
  • Franklin Lakes, NJ
National Provider Identifier
1134479256
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05302300 Issued in NJ
Practice address
808 High Mountain Rd
Suite 209
Franklin Lakes, NJ 07417-2905
Phone
(201) 417-2748
Fax
(201) 847-2341
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05302300 NJ Primary

Addresses

Primary practice location

808 High Mountain Rd
Suite 209
Franklin Lakes, NJ 07417-2905

Mailing address

808 High Mountain Rd
Suite 209
Franklin Lakes, NJ 07417-2905
Phone (201) 417-2748

Other identifiers 1

IdentifierTypeStateIssuer
P3865514OtherNJOXFORD HEALTH PLANS

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
44SC05302300NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1134479256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 HIGH MOUNTAIN RD",
            "address_2": "SUITE 209",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172905",
            "telephone_number": "201-417-2748",
            "fax_number": "201-847-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 HIGH MOUNTAIN RD",
            "address_2": "SUITE 209",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172905",
            "telephone_number": "201-417-2748",
            "fax_number": "201-847-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORZALA-GROGIN",
        "first_name": "CHERYL",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05302300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P3865514",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.