Individual provider Active NPI

Doreen Ethel Ner, LSW

  • Social Worker
  • Paramus, NJ
National Provider Identifier
1407537418
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06975600 Issued in NJ
Practice address
6 Forest Ave
Paramus, NJ 07652-5241
Phone
(201) 880-7530
Fax
(201) 880-7529
NPI assigned
Jul 31, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0015X MA056615 NJ
Social Worker 104100000X 44SL06975600 NJ Primary

Addresses

Primary practice location

6 Forest Ave
Paramus, NJ 07652-5241

Mailing address

6 Forest Ave
Paramus, NJ 07652-5241
Phone (201) 880-7530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6 Forest Ave
Suite 110
Paramus, NJ 07652-5241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06975600NJMDSocial Worker
MA056615NJMDPsychosomatic Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1407537418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FOREST AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525241",
            "telephone_number": "201-880-7530",
            "fax_number": "201-880-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FOREST AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525241",
            "telephone_number": "201-880-7530",
            "fax_number": "201-880-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NER",
        "first_name": "DOREEN",
        "middle_name": "ETHEL",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NJ",
            "license": "MA056615",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06975600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.