Susan Dale Gerstley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05461100 Issued in NJ

Practice address

75 N Maple Ave
Suite 201
Ridgewood, NJ 07450-3247

Phone

(201) 580-1449

NPI assigned

Apr 21, 2011

Last updated

Sep 2, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2021 through Apr 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Psychotherapy Associates of New Jersey

  • Clinical Social Worker
  • Ridgewood, NJ
  • NPI 1356701692
  NPD Authorized official

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1407147796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 STONE RDG",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076777920",
            "telephone_number": "201-580-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 N MAPLE AVE",
            "address_2": "SUITE 201",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503247",
            "telephone_number": "201-580-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSTLEY",
        "first_name": "SUSAN",
        "middle_name": "DALE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05461100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genfit Therapy LLC
• Michael Peter Gentile Sr., M.D.
• Genuine Rehabilitation Inc
• Nevin George
• William Robert Gerber, MSW, LCSW
• Yoo Jung Gessmann, M.A.
• Zia Ghavami, M.D.
• Gabriella Leonora Giachin, LCSW
• Mary Elizabeth Giacona, DDS
• Cynthia Ann Gilbert-Pattison, DMD

• Clinical Social Worker in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.

Verify at the official NPI Registry.