Individual provider Active NPI

Michelle Mouhtis, MSW, LCSW

  • Clinical Social Worker
  • Clifton, NJ
National Provider Identifier
1427559418
Registry record updated Feb 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05772700 Issued in NJ
Practice address
1033 US Highway 46 Ste 106a
Clifton, NJ 07013-2448
Phone
(973) 473-0800
Fax
(973) 473-8058
NPI assigned
Feb 24, 2018
Last updated
Feb 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2018

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 44SC05772700 NJ Primary

Addresses

Primary practice location

1033 US Highway 46 Ste 106a
Clifton, NJ 07013-2448

Mailing address

1033 US Highway 46 Ste 106a
Clifton, NJ 07013-2448
Phone (973) 473-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1519430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519430400000",
    "number": "1427559418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 US HIGHWAY 46 STE 106A",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132448",
            "telephone_number": "973-473-0800",
            "fax_number": "973-473-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 US HIGHWAY 46 STE 106A",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132448",
            "telephone_number": "973-473-0800",
            "fax_number": "973-473-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUHTIS",
        "first_name": "MICHELLE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-24",
        "last_updated": "2018-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05772700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.