Individual provider Active NPI

Anna Kaplan, LCSW

  • Clinical Social Worker
  • Cliffside Park, NJ
National Provider Identifier
1154423341
Registry record updated Aug 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC052276000 Issued in NJ
Practice address
250 Gorge Rd Apt 27C
Cliffside Park, NJ 07010-1320
Phone
(201) 993-8548
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC0527000 NJ
Clinical Social Worker 1041C0700X R-0467481 NY
Clinical Social Worker 1041C0700X 44SC052276000 NJ Primary

Addresses

Primary practice location

250 Gorge Rd Apt 27C
Cliffside Park, NJ 07010-1320

Mailing address

250 Gorge Rd Apt 27C
Cliffside Park, NJ 07010-1320
Phone (201) 993-8548

Other practice location 1

19 Louise Ln
Tenafly, NJ 07670-2625
Phone (201) 993-8548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130322000006 NJ Practitioner - Clinical Social Worker 2163524059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center of Revitalizing Psychiatry, P.C.Group PAC ID 0648239988, 39 clinicians

Practice addresses (Care Compare)

340 W Passaic St
Suite 1
Rochelle Park, NJ 07662-3019
Phone (201) 488-5161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC052276000NJMDClinical Social Worker
44SC0527000NJMDClinical Social Worker
R-0467481NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center of Revitalizing Psychiatry, P.C. CurrentSince Jan 26, 2013 Accepting new patients
Jewish Board of Family and Children'S Services, Inc. Clinical Past Accepting new patients
Jbfcs Past Accepting new patients

Locations

795 Main St
Hackensack, NJ 07601
Phone (201) 488-5161

340 W Passaic St
Ste 1
Rochelle Park, NJ 07662
Phone (201) 488-5161

Organizations & group practices 3

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659744000000",
    "number": "1154423341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 GORGE RD APT 27C",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101320",
            "telephone_number": "201-993-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 GORGE RD APT 27C",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101320",
            "telephone_number": "201-993-8548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Louise Ln",
            "address_purpose": "LOCATION",
            "city": "Tenafly",
            "state": "NJ",
            "postal_code": "076702625",
            "country_code": "US",
            "telephone_number": "201-993-8548",
            "fax_number": "201-569-2654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC0527000",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-0467481",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC052276000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cliffside Park, NJ

Sources for this page

Verify at the official NPI Registry.