Individual provider Active NPI

Denise K Codner

  • Social Worker
  • Montclair, NJ
National Provider Identifier
1174419345
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06882700 Issued in NJ
Practice address
622-624 Valley Rd Apt 5G
Montclair, NJ 07043-1462
Phone
(732) 674-9857
NPI assigned
Jun 16, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06882700 NJ Primary

Addresses

Primary practice location

622-624 Valley Rd Apt 5G
Montclair, NJ 07043-1462

Mailing address

50 Pawnee Ave
Lake Hiawatha, NJ 07034-3010
Phone (201) 602-6158

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
44SL06882700NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1174419345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PAWNEE AVE",
            "city": "LAKE HIAWATHA",
            "state": "NJ",
            "postal_code": "070343010",
            "telephone_number": "201-602-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622-624 VALLEY RD APT 5G",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431462",
            "telephone_number": "732-674-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODNER",
        "first_name": "DENISE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06882700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.