Individual provider Active NPI

Elaine M Edelman, LCSW

  • Clinical Social Worker
  • E Brunswick, NJ
National Provider Identifier
1225214265
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01173300 Issued in NJ
Practice address
224 Route 18 North
E. Brunswick, NJ 08816
Phone
(917) 494-1617
NPI assigned
Jan 20, 2008
Last updated
Feb 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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 44SC01173300 NJ Primary

Addresses

Primary practice location

224 Route 18 North
E. Brunswick, NJ 08816

Mailing address

5 Richard Rd.
E. Brunswick, NJ 08816
Phone (917) 494-1617

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
I20080701000340 NJ Practitioner - Clinical Social Worker 3375615636 Practice locations: E Brunswick, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Oakland College of Medicine and Surgery, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 Richard Rd
East Brunswick, NJ 08816-3655

6 Auer CT
Suite D
E Brunswick, NJ 08816-5828
Phone (917) 494-1617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC01173300NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1200787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1225214265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 RICHARD RD.",
            "city": "E. BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "917-494-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 ROUTE 18 NORTH",
            "city": "E. BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "917-494-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELMAN",
        "first_name": "ELAINE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-20",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01173300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in E Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.