Individual provider Active NPI

Liza Anne Restifo, LCSW, LCADC

  • Clinical Social Worker
  • Ocean, NJ
National Provider Identifier
1174635825
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00081800 Issued in NJ
Practice address
3200 Sunset Ave
Suite 211
Ocean, NJ 07712-4567
Phone
(908) 489-3690
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00041300 NJ
Clinical Social Worker 1041C0700X 44SC00081800 NJ Primary

Addresses

Primary practice location

3200 Sunset Ave
Suite 211
Ocean, NJ 07712-4567

Mailing address

3200 Sunset Ave
Suite 211
Ocean, NJ 07712-4567
Phone (908) 489-3690

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
I20110215000177 NJ Practitioner - Clinical Social Worker 2466632047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3200 Sunset Ave
Suite 211
Ocean, NJ 07712-4556
Phone (908) 489-3690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC00081800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Liza Restifo LCSW LLC Clinical CurrentSince Jan 1, 2022 Accepting new patients
Jewish Family Service PastSince May 1, 2011 Accepting new patients

Locations

3200 Sunset Ave
Ste 211
Ocean, NJ 07712
Phone (732) 493-3774

Organizations & group practices 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1174635825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SUNSET AVE",
            "address_2": "SUITE 211",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124567",
            "telephone_number": "908-489-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SUNSET AVE",
            "address_2": "SUITE 211",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124567",
            "telephone_number": "908-489-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTIFO",
        "first_name": "LIZA",
        "middle_name": "ANNE",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00041300",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00081800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

Verify at the official NPI Registry.