Individual provider Active NPI

Sally Kopstein, MSW/LCSW

  • Clinical Social Worker
  • Edison, NJ
National Provider Identifier
1235360710
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44C0085000 Issued in NJ
Practice address
167 Hidden Hollow CT
Edison, NJ 08820-1063
Phone
(908) 769-7236
NPI assigned
Aug 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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 44C0085000 NJ Primary

Addresses

Primary practice location

167 Hidden Hollow CT
Edison, NJ 08820-1063

Mailing address

167 Hidden Hollow CT
Edison, NJ 08820-1063
Phone (908) 769-7236

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
44C0085000NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1249171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249344000000",
    "number": "1235360710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 HIDDEN HOLLOW CT",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201063",
            "telephone_number": "908-769-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 HIDDEN HOLLOW CT",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201063",
            "telephone_number": "908-769-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPSTEIN",
        "first_name": "SALLY",
        "name_prefix": "Ms.",
        "credential": "MSW/LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-02",
        "last_updated": "2009-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44C0085000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.