Organization Active NPI

Mary Huss Zetelski, LCSW, LLC

  • Clinical Social Worker
  • Teaneck, NJ
National Provider Identifier
1265806814
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05245700 Issued in NJ
Legal business name
MARY HUSS ZETELSKI, LCSW, LLC
Practice address
101 Cedar LN Ste 303
Teaneck, NJ 07666-4417
Phone
(201) 933-0987
NPI assigned
Nov 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
Mrs. Mary Huss Zetelski, LCSW
Title
Psychotherapist
Phone
(201) 933-0987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC05245700 NJ Primary

Addresses

Primary practice location

101 Cedar LN Ste 303
Teaneck, NJ 07666-4417

Mailing address

101 Cedar LN Ste 303
Teaneck, NJ 07666-4417
Phone (201) 933-0987

National Provider Directory

National Provider Directory

Locations

101 Cedar Ln
Ste 303
Teaneck, NJ 07666
Phone (201) 390-8347

NPI Registry JSON

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1265806814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CEDAR LN STE 303",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664417",
            "telephone_number": "201-933-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CEDAR LN STE 303",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664417",
            "telephone_number": "201-933-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY HUSS ZETELSKI, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "ZETELSKI",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "HUSS",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "201-933-0987",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05245700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.