Meron W Addisu, LCSW
Individual provider Active NPI Clinical Social Worker · Paramus, NJ
NPI 1316572001 · NPPES record last updated May 2, 2023
Key facts
- NPI
- 1316572001
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC06199000 (NJ)
- Practice address
- 300 Forest Ave
Paramus, NJ 07652-5429 - Phone
- (201) 680-1420
- NPI assigned
- Mar 3, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL05882500 | NJ | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamilton Behavioral MD PA | Current |
Accepting new patients | |
| Centra Medical Group, LLC | Past |
Accepting new patients |
Locations
300 Forest Ave
#A
Paramus, NJ 07652
Phone (201) 490-5158
300 Forest Ave
Paramus, NJ 07652
Phone (201) 490-5158
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL05882500 | NJ | |
| Clinical Social Worker | 1041C0700X | 44SC06199000 | NJ | Yes |
Addresses
Primary practice location
300 Forest Ave
Paramus, NJ 07652-5429
Mailing address
86 Warren St Apt 3B
Nutley, NJ 07110-2343
Phone (201) 680-1420
Other practice location 1
650 Bloomfield Ave Ste 106
Bloomfield, NJ 07003-2542
Phone (973) 744-6522
Other providers in Paramus, NJ
- Khrystyne Ann Acevedo
- Erin M Acker-Jablonski
- Bianca Gabrielle Acot
- Candy N Adames Paulino
- Travis Adamson
- Nourihan Adel
- Tymaz Adel
- Ogechukwu Adinde
- Advance Housing, Inc.
- Advance Housing, Inc.
All providers in Paramus, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.