Individual provider Active NPI

Jelena Strazivuk, LCSW

  • Clinical Social Worker
  • West Caldwell, NJ
National Provider Identifier
1285299339
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05596300 Issued in NJ
Practice address
33 Clinton Rd Ste 102
West Caldwell, NJ 07006-6790
Phone
(862) 248-6807
NPI assigned
May 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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 44SC05596300 NJ Primary

Addresses

Primary practice location

33 Clinton Rd Ste 102
West Caldwell, NJ 07006-6790

Mailing address

33 Clinton Rd Ste 102
West Caldwell, NJ 07006-6790
Phone (862) 248-6807

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
44SC05596300NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Be Mindful Counseling, LLC Clinical CurrentSince Oct 5, 2021 Accepting new patients

Locations

33 Clinton Rd
Ste 102
West Caldwell, NJ 07006
Phone (201) 719-1780

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": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1285299339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CLINTON RD STE 102",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066790",
            "telephone_number": "862-248-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CLINTON RD STE 102",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066790",
            "telephone_number": "862-248-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAZIVUK",
        "first_name": "JELENA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-03",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05596300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.