Individual provider Active NPI

Melissa Kornitzer, LCSW

  • Mental Health Counselor
  • Clifton, NJ
National Provider Identifier
1497522270
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SC06288500 Issued in NJ
Practice address
13 Huron Ave
Clifton, NJ 07013-2908
Phone
(908) 489-1395
NPI assigned
Dec 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 44SC06288500 NJ Primary

Addresses

Primary practice location

13 Huron Ave
Clifton, NJ 07013-2908

Mailing address

13 Huron Ave
Clifton, NJ 07013-2908
Phone (908) 489-1395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240828001798 NJ Practitioner - Clinical Social Worker 3173062635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13 Huron Ave
Clifton, NJ 07013-2908

4 W Palisade Ave
Englewood, NJ 07631-2720
Phone (973) 602-9380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06288500NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Kornitzer LCSW LLC CurrentSince Aug 9, 2024 Accepting new patients

Locations

4 W Palisade Ave
Englewood, NJ 07631
Phone (855) 675-1849

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1497522270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 HURON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132908",
            "telephone_number": "908-489-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 HURON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132908",
            "telephone_number": "908-489-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNITZER",
        "first_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC06288500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.