Individual provider Active NPI

Paul Dennis Kreisinger, LCSW

  • Clinical Social Worker
  • Rutherford, NJ
National Provider Identifier
1144104191
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05633100 Issued in NJ
Practice address
51 Elliott PL
Rutherford, NJ 07070-1951
Phone
(201) 939-3336
Fax
(201) 939-7789
NPI assigned
Aug 4, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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 44SC05633100 NJ Primary

Addresses

Primary practice location

51 Elliott PL
Rutherford, NJ 07070-1951

Mailing address

51 Elliott PL
Rutherford, NJ 07070-1951
Phone (201) 939-3336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 4, 2025 through Aug 4, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05633100NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Paul D. Kreisinger, LCSW, LLC PastSince Aug 10, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1144104191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 ELLIOTT PL",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701951",
            "telephone_number": "201-939-3336",
            "fax_number": "201-939-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 ELLIOTT PL",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701951",
            "telephone_number": "201-939-3336",
            "fax_number": "201-939-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREISINGER",
        "first_name": "PAUL",
        "middle_name": "DENNIS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05633100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

Verify at the official NPI Registry.