Individual provider Active NPI

Debora Valatkavage, LCSW

  • Clinical Social Worker
  • Parsippany, NJ
National Provider Identifier
1215542584
Registry record updated Sep 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05754400 Issued in NJ
Practice address
37 Stirling Rd
Parsippany, NJ 07054-3516
Phone
(908) 313-0253
NPI assigned
Sep 13, 2020
Last updated
Sep 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2020

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 44SC05754400 NJ Primary

Addresses

Primary practice location

37 Stirling Rd
Parsippany, NJ 07054-3516

Mailing address

37 Stirling Rd
Parsippany, NJ 07054-3516

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05754400NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mariam Rothfritz, PH.D. and Associates Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1599955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599955200000",
    "number": "1215542584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 STIRLING RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070543516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 STIRLING RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070543516",
            "telephone_number": "908-313-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALATKAVAGE",
        "first_name": "DEBORA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-13",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05754400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

Verify at the official NPI Registry.