Active NPI
Jodi L Brodsky, LCSW
- Clinical Social Worker
- Far Hills, NJ
National Provider Identifier
1376941781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05586700
- Practice address
- 37 Dumont Rd
Suite 101
Far Hills, NJ 07931-2814 - Phone
- (908) 367-3371
- NPI assigned
- Dec 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05586700 | NJ | Primary |
Addresses
Primary practice location
37 Dumont Rd
Suite 101
Far Hills, NJ 07931-2814
Mailing address
PO Box 8023
Bridgewater, NJ 08807-8023
Phone (908) 367-3371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 21, 2023 through Dec 21, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05586700 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480723200000",
"number": "1376941781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8023",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088078023",
"telephone_number": "908-367-3371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 DUMONT RD",
"address_2": "SUITE 101",
"city": "FAR HILLS",
"state": "NJ",
"postal_code": "079312814",
"telephone_number": "908-367-3371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODSKY",
"first_name": "JODI",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-17",
"last_updated": "2016-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05586700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Far Hills, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.