Elena Kardonsky, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05721800 Issued in NJ

Practice address

60 Jefferson Ave
Tenafly, NJ 07670-1932

Phone

(917) 612-7100

NPI assigned

May 12, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Centra Medical Group, LLC

  • Family Medicine Physician
  • Lynchburg, VA
  • NPI 1649228966
  NPD (past)

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1144608928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 JEFFERSON AVE",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701932",
            "telephone_number": "917-612-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 JEFFERSON AVE",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701932",
            "telephone_number": "917-612-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARDONSKY",
        "first_name": "ELENA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05721800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jina Park, LCSW LLC
• JNJC Medical LLC
• Diane L Jonas-Feit, DMD
• Kento Kamiyama, P.T., D.P.T
• Karishma Kancherla, M.D.
• Rena Melanie Katsev
• Mera Marie Keh, PMHNP-BC
• Lisa Keller
• Anna B Kelly, MD
• Meaghan E. Kelly, M.ED., BCBA, LBA

• Clinical Social Worker in Tenafly, NJ
• Providers in Tenafly, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.