Individual provider Active NPI

Abigail Y Kelsen

  • Clinical Social Worker
  • North Bergen, NJ
National Provider Identifier
1376129395
Registry record updated Mar 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05336300 Issued in NJ
Practice address
7600 River Rd
North Bergen, NJ 07047-6217
Phone
(201) 854-5400
NPI assigned
Mar 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05336300 NJ Primary

Addresses

Primary practice location

7600 River Rd
North Bergen, NJ 07047-6217

Mailing address

122 Rector CT
Bergenfield, NJ 07621-4221
Phone (646) 456-5536

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210426000221 NJ Practitioner - Clinical Social Worker 9032527445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vicki Barnett Psy D PCGroup PAC ID 4183645575, 15 clinicians

Practice addresses (Care Compare)

288 Jones Rd
Englewood, NJ 07631-4411
Phone (201) 655-8332

525 Monmouth St
Jersey City, NJ 07302-1527
Phone (201) 656-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05336300NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vicki Barnett Psy D PC CurrentSince May 20, 2021 Accepting new patients

Locations

525 Monmouth St
Jersey City, NJ 07302
Phone (201) 653-8800

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1616284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616284800000",
    "number": "1376129395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 RECTOR CT",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076214221",
            "telephone_number": "646-456-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 RIVER RD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476217",
            "telephone_number": "201-854-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSEN",
        "first_name": "ABIGAIL",
        "middle_name": "Y",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-21",
        "last_updated": "2021-03-21",
        "certification_date": "2021-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05336300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

Verify at the official NPI Registry.