Active NPI
Nancy Dimitrovski, LCSW, LCADC
- Clinical Social Worker
- Sparta, NJ
National Provider Identifier
1245475672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05322000
- Practice address
- 46 Main St Ste 401
Sparta, NJ 07871-1910 - Phone
- (973) 945-9045
- NPI assigned
- Dec 15, 2008
- Last updated
- Aug 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37C00144600 | NJ | |
| Clinical Social Worker | 1041C0700X | 44SC05322000 | NJ | Primary |
Addresses
Primary practice location
46 Main St Ste 401
Sparta, NJ 07871-1910
Mailing address
46 Main St Ste 401
Sparta, NJ 07871-1910
Phone (973) 945-9045
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245475672 | Other | NJ | 1245475672 |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | diminan2001@yahoo.com |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37C00144600 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 44SC05322000 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1245475672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 MAIN ST STE 401",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078711910",
"telephone_number": "973-945-9045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 MAIN ST STE 401",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078711910",
"telephone_number": "973-945-9045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMITROVSKI",
"first_name": "NANCY",
"name_prefix": "Ms.",
"credential": "LCSW, LCADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-15",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37C00144600",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05322000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1245475672",
"identifier": "1245475672",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "diminan2001@yahoo.com",
"affiliation": "N",
"address_1": "46 Main St Ste 401",
"city": "Sparta",
"state": "NJ",
"country_code": "US",
"postal_code": "078711910",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sparta, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.