Organization Active NPI

Marj Swain Bernstein LCSW LLC

  • Clinical Social Worker
  • Ridgewood, NJ
National Provider Identifier
1306102173
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05199800 Issued in NJ
Legal business name
MARJ SWAIN BERNSTEIN LCSW LLC
Practice address
45 N Broad St Ste 100
Ridgewood, NJ 07450-3857
Phone
(201) 446-8225
NPI assigned
Apr 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Marjorie Swain Bernstein, LCSWNPI 1639229966
Title
Owner
Phone
(201) 446-8225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC05199800 NJ Primary

Addresses

Primary practice location

45 N Broad St Ste 100
Ridgewood, NJ 07450-3857

Mailing address

45 N Broad St Ste 100
Ridgewood, NJ 07450-3857
Phone (201) 446-8225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120501000290 NJ Part B Supplier - Clinic/Group Practice 3870755242 Receives reassigned benefits from 1 practitioner
Practice locations: Ridgewood, NJ

National Provider Directory

National Provider Directory

Locations

299 Forest Ave
Ste J
Paramus, NJ 07652
Phone (201) 314-6040

45 N Broad St
Ste 100
Ridgewood, NJ 07450
Phone (201) 446-8225

101 Cedar Ln
Ste 202
Teaneck, NJ 07666
Phone (201) 287-0043

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1306102173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 N BROAD ST STE 100",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503857",
            "telephone_number": "201-446-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N BROAD ST STE 100",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503857",
            "telephone_number": "201-446-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARJ SWAIN BERNSTEIN LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "SWAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-446-8225",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05199800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.