Meron W Addisu, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06199000 Issued in NJ

Practice address

300 Forest Ave
Paramus, NJ 07652-5429

Phone

(201) 680-1420

NPI assigned

Mar 3, 2020

Last updated

May 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hamilton Behavioral Health

  • Clinical Psychologist
  • Old Tappan, NJ
  • NPI 1720745060
  NPD
• Hamilton Behavioral MD PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Paramus, NJ
  • NPI 1548500408
  NPD
• Metropolitan Endocrinology, LLC

  dba Sameera Daud-Ahmed

  • Endocrinology, Diabetes & Metabolism Physician
  • Edgewater, NJ
  • NPI 1124606504
  NPD (past)
• Centra Medical Group, LLC

  • Family Medicine Physician
  • Lynchburg, VA
  • NPI 1649228966
  NPD (past)

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1316572001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 WARREN ST APT 3B",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102343",
            "telephone_number": "201-680-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FOREST AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525429",
            "telephone_number": "201-680-1420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Bloomfield Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "NJ",
            "postal_code": "070032542",
            "country_code": "US",
            "telephone_number": "973-744-6522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADDISU",
        "first_name": "MERON",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05882500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06199000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khrystyne Ann Acevedo, LPC
• Erin M Acker-Jablonski, FNP
• Bianca Gabrielle Acot
• Candy N Adames Paulino, APN
• Travis Adamson, MD
• Nourihan Adel, MD
• Tymaz Adel, M.D.
• Lahira Adilovic
• Ogechukwu Adinde, NP
• Advance Housing, Inc.

• Clinical Social Worker in Paramus, NJ
• Providers in Paramus, 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 May 2, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.