Individual provider Active NPI

Cheryl A Golub, LCSW

  • Clinical Social Worker
  • Montvale, NJ
National Provider Identifier
1598103707
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05545500 Issued in NJ
Practice address
210 Summit Ave
Suite A9
Montvale, NJ 07645-1579
Phone
(914) 772-3123
Fax
(845) 818-3705
NPI assigned
Jun 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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 44SC05545500 NJ Primary

Addresses

Primary practice location

210 Summit Ave
Suite A9
Montvale, NJ 07645-1579

Mailing address

3 Olde Woods LN
Montvale, NJ 07645-1743
Phone (914) 772-3123

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
I20130808000221 NJ Practitioner - Clinical Social Worker 0941442602 Practice locations: Montvale, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

210 Summit Ave
A9
Montvale, NJ 07645-1526
Phone (914) 772-3123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05545500NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1598103707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 OLDE WOODS LN",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451743",
            "telephone_number": "914-772-3123",
            "fax_number": "845-818-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SUMMIT AVE",
            "address_2": "SUITE A9",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451579",
            "telephone_number": "914-772-3123",
            "fax_number": "845-818-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLUB",
        "first_name": "CHERYL",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05545500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montvale, NJ

Sources for this page

Verify at the official NPI Registry.