Organization Active NPI

Elizabeth Hanifin LCSW LLC

  • Clinical Social Worker
  • Nutley, NJ
National Provider Identifier
1336795160
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ELIZABETH HANIFIN LCSW LLC
Practice address
349 Franklin Ave Ste 206
Nutley, NJ 07110-1645
Phone
(973) 768-2160
NPI assigned
Aug 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Authorized official

Name
Elizabeth Hanifin, LCSW
Title
Owner/Clinical Social Worker
Phone
(908) 232-1184

Specialties & licenses 1

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

Addresses

Primary practice location

349 Franklin Ave Ste 206
Nutley, NJ 07110-1645

Mailing address

349 Franklin Ave Ste 206
Nutley, NJ 07110-1645

Other practice location 1

125 Elm St Ste 1
Westfield, NJ 07090-3147
Phone (908) 768-2160

National Provider Directory

National Provider Directory

Locations

349 Franklin Ave
Ste 206
Nutley, NJ 07110
Phone (973) 768-2160

125 Elm St
Ste 1
Westfield, NJ 07090
Phone (908) 768-2160

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1336795160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 FRANKLIN AVE STE 206",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 FRANKLIN AVE STE 206",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101645",
            "telephone_number": "973-768-2160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Elm St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "NJ",
            "postal_code": "070903147",
            "country_code": "US",
            "telephone_number": "908-768-2160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELIZABETH HANIFIN LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "HANIFIN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "908-232-1184",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.