Individual provider Active NPI

Mary Huss Zetelski, L.C.S.W.

  • Clinical Social Worker
  • Rutherford, NJ
National Provider Identifier
1376815373
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
46 Montross Ave
Rutherford, NJ 07070-1108
Phone
(201) 933-0987
NPI assigned
Feb 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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 Primary

Addresses

Primary practice location

46 Montross Ave
Rutherford, NJ 07070-1108

Mailing address

46 Montross Ave
Rutherford, NJ 07070-1108
Phone (201) 933-0987

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
I20251111003077 NJ Practitioner - Clinical Social Worker 7517234156 Practice locations: Hackensack, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 University PLZ
Suite 618
Hackensack, NJ 07601-6212

1 University PLZ
Suite 618
Hackensack, NJ 07601-6236
Phone (201) 741-0629

46 Montross Ave
Rutherford, NJ 07070-1108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1376815373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 MONTROSS AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701108",
            "telephone_number": "201-933-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 MONTROSS AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701108",
            "telephone_number": "201-933-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZETELSKI",
        "first_name": "MARY",
        "middle_name": "HUSS",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

Verify at the official NPI Registry.