Individual provider Active NPI

Susan Peterson Perkins, L.C.S.W.

  • Clinical Social Worker
  • Ridgewood, NJ
National Provider Identifier
1184873242
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04898500 Issued in NJ
Practice address
201 E Ridgewood Ave Ste 3
Ridgewood, NJ 07450-3825
Phone
(201) 566-1535
NPI assigned
Sep 13, 2008
Last updated
Mar 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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 44SC04898500 NJ Primary

Addresses

Primary practice location

201 E Ridgewood Ave Ste 3
Ridgewood, NJ 07450-3825

Mailing address

201 E Ridgewood Ave Ste 3
Ridgewood, NJ 07450-3825
Phone (201) 566-1535

Other names 1

  • Ms. Susan Peterson Professional name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1221264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1184873242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E RIDGEWOOD AVE STE 3",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503825",
            "telephone_number": "201-566-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E RIDGEWOOD AVE STE 3",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503825",
            "telephone_number": "201-566-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON PERKINS",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-13",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04898500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "PETERSON",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.