Individual provider Active NPI

Dianne Sears Nukk, LCSW

  • Social Worker
  • Ramsey, NJ
National Provider Identifier
1366708307
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SC00745800 Issued in NJ
Practice address
19 Spear Road
Suite 201
Ramsey, NJ 07446-1223
Phone
(201) 978-9668
Fax
(201) 825-7550
NPI assigned
Apr 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SC00745800 NJ Primary

Addresses

Primary practice location

19 Spear Road
Suite 201
Ramsey, NJ 07446-1223

Mailing address

19 Spear Road-Suite 201
Ramsey, NJ 07446-1223
Phone (201) 978-9668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC00745800NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1366708307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SPEAR ROAD-SUITE 201",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461223",
            "telephone_number": "201-978-9668",
            "fax_number": "201-825-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SPEAR ROAD",
            "address_2": "SUITE 201",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461223",
            "telephone_number": "201-978-9668",
            "fax_number": "201-825-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUKK",
        "first_name": "DIANNE",
        "middle_name": "SEARS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC00745800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramsey, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.