Individual provider Active NPI

Allison Rose Loeb

  • Clinical Social Worker
  • Hoboken, NJ
National Provider Identifier
1255811774
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
092832 Issued in NY
Practice address
258 Newark St Ste 208
Hoboken, NJ 07030-3418
Phone
(908) 758-4624
NPI assigned
Aug 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 104102 NY
Clinical Social Worker 1041C0700X 092832 NY Primary

Addresses

Primary practice location

258 Newark St Ste 208
Hoboken, NJ 07030-3418

Mailing address

258 Newark St Ste 208
Hoboken, NJ 07030-3418
Phone (908) 758-4624

Other practice location 1

1841 Park Ave
New York, NY 10035-1316
Phone (646) 459-6091

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

LicenseStateTypeSpecialty
104102NYMDSocial Worker
092832NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
First Light Therapy LLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

258 Newark St
Ste 208
Hoboken, NJ 07030
Phone (201) 661-8070

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1255811774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 NEWARK ST STE 208",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303418",
            "telephone_number": "908-758-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 NEWARK ST STE 208",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303418",
            "telephone_number": "908-758-4624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1841 Park Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100351316",
            "country_code": "US",
            "telephone_number": "646-459-6091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOEB",
        "first_name": "ALLISON",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "104102",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

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

Verify at the official NPI Registry.