Organization Active NPI

Alyssa Bressman LCSW LLC

  • Clinical Social Worker
  • Englewood, NJ
National Provider Identifier
1477189595
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ALYSSA BRESSMAN LCSW LLC
Practice address
163 Engle St Ste 5
Englewood, NJ 07631-2530
Phone
(917) 301-0490
NPI assigned
Mar 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Authorized official

Name
Alyssa Bressman, LCSWNPI 1013434596
Title
Sole MBR
Phone
(917) 301-0490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

163 Engle St Ste 5
Englewood, NJ 07631-2530

Mailing address

100 Carlyle Dr Apt 9LN
Cliffside Park, NJ 07010-3506

Other practice location 1

100 Carlyle Dr Apt 9Ln
Cliffside Park, NJ 07010-3506
Phone (917) 301-0490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200512003631 NJ Part B Supplier - Clinic/Group Practice 4385075035 Receives reassigned benefits from 1 practitioner
Practice locations: Englewood, NJ

National Provider Directory

National Provider Directory

Locations

163 Engle St
Ste 5
Englewood, NJ 07631
Phone (201) 835-8565

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584662400000",
    "number": "1477189595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CARLYLE DR APT 9LN",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070103506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 ENGLE ST STE 5",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312530",
            "telephone_number": "917-301-0490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Carlyle Dr Apt 9Ln",
            "address_purpose": "LOCATION",
            "city": "Cliffside Park",
            "state": "NJ",
            "postal_code": "070103506",
            "country_code": "US",
            "telephone_number": "917-301-0490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALYSSA BRESSMAN LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A",
        "authorized_official_last_name": "BRESSMAN",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "917-301-0490",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.