Joann M Purdy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05399100 Issued in NJ

Practice address

615 Sherwood Pkwy
Mountainside, NJ 07092-2525

Phone

(908) 625-3492

NPI assigned

Oct 1, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1295210755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 SHERMAN ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901208",
            "telephone_number": "190-862-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SHERWOOD PKWY",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922525",
            "telephone_number": "908-625-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURDY",
        "first_name": "JOANN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05399100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee J Powers, OTR
• Premier Urology Group LLC
• Paul Matthew Presti, M.D.
• Prime Care One, LLC
• Janice L Prontnicki, MD
• Katelyn Alexandra Quinn
• Brent David Reitz, MSPT
• Susan Rele, PT, DPT, CERT MDT
• Barbara I Reuven, PT
• Elizabeth Balzano Riley, LSW

• Clinical Social Worker in Mountainside, NJ
• Providers in Mountainside, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.