Active NPI
Roseann Zelaya, LCSW
- Clinical Social Worker
- Kearny, NJ
National Provider Identifier
1306527098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC06241300
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00377400 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 44SC06241300 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeway Behavioral Health Services | Current | Accepting new patients | |
| Bridgeway Behavioral Health Services | Current | Accepting new patients | |
| The Counseling Center at West Caldwell NJ, LLC | Past | Accepting new patients | |
| Counseling Center at Clark, LLC | Past | 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.
-
- Community/Behavioral Health Agency
- Elizabeth, NJ
- NPI 1639294879
-
- Community/Behavioral Health Agency
- Union, NJ
- NPI 1386781920
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Clark, NJ
- NPI 1245637578
-
- Substance Use Disorder Rehabilitation Clinic/Center
- West Caldwell, NJ
- NPI 1427999358
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.