Individual provider Active NPI

Daniel Connor Linehan, MSW, LCSW

  • Clinical Social Worker
  • Florham Park, NJ
National Provider Identifier
1558506790
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SCO5335200 Issued in NJ
Practice address
248 Columbia Tpke BLDG 2
Florham Park, NJ 07932-1210
Phone
(973) 845-8430
NPI assigned
Dec 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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 44SCO5335200 NJ Primary

Addresses

Primary practice location

248 Columbia Tpke BLDG 2
Florham Park, NJ 07932-1210

Mailing address

248 Columbia Tpke BLDG 2
Florham Park, NJ 07932-1210
Phone (973) 271-6976

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SCO5335200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Change, LLC Clinical CurrentSince Mar 1, 2020 Accepting new patients

Locations

248 Columbia Tpke
Bldg 2
Florham Park, NJ 07932
Phone (201) 280-3541

205 Ridgedale Ave
Ste 2
Florham Park, NJ 07932
Phone (973) 476-4622

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": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1558506790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 COLUMBIA TPKE BLDG 2",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321210",
            "telephone_number": "973-271-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 COLUMBIA TPKE BLDG 2",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321210",
            "telephone_number": "973-845-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINEHAN",
        "first_name": "DANIEL",
        "middle_name": "CONNOR",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-02",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SCO5335200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.