Individual provider Active NPI

Roseann Zelaya, LCSW

  • Clinical Social Worker
  • Kearny, NJ
National Provider Identifier
1306527098
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06241300 Issued in NJ
Practice address
158 Dukes St
Kearny, NJ 07032-3309
Phone
(973) 852-8430
NPI assigned
Jul 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC06241300 NJ Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00377400 NJ

Addresses

Primary practice location

158 Dukes St
Kearny, NJ 07032-3309

Mailing address

158 Dukes St
Kearny, NJ 07032-3309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251117003912 NJ Practitioner - Clinical Social Worker 1153812276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

506 3Rd St
Hoboken, NJ 07030-1970
Phone (201) 885-2539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00377400NJMDAddiction (Substance Use Disorder) Counselor
44SC06241300NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeway Behavioral Health Services Current Accepting new patients
Bridgeway Behavioral Health Services CurrentSince Aug 21, 2025 Accepting new patients
The Counseling Center at West Caldwell NJ, LLC PastSince Jul 1, 2023 Accepting new patients
Counseling Center at Clark, LLC PastSince Jul 1, 2023 Accepting new patients

Locations

506 3rd St
Hoboken, NJ 07030
Phone (201) 792-8200

152 Central Ave
Jersey City, NJ 07306
Phone (201) 370-4232

373 Clermont Ter
Union, NJ 07083
Phone (908) 355-7886

Organizations & group practices 4

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": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1306527098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 DUKES ST",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 DUKES ST",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323309",
            "telephone_number": "973-852-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELAYA",
        "first_name": "ROSEANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06241300",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00377400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

Verify at the official NPI Registry.