Deborah Kern, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05353600 Issued in NJ

Practice address

40 N Van Brunt St Ste 22
Englewood, NJ 07631-2716

Phone

(201) 875-5699

NPI assigned

Jul 1, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19365/brand/1/csg/1/fhir/r4

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.

• Deborah Kern LCSW LLC

  • Preferred Provider Organization
  • Teaneck, NJ
  • NPI 1255614327
  NPD Authorized official
• Neurocognitive Health Associates

  • Clinical Neuropsychologist
  • Englewood, NJ
  • NPI 1972997187
  NPD (past)

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1609188952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N VAN BRUNT ST STE 22",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312716",
            "telephone_number": "201-875-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N VAN BRUNT ST STE 22",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312716",
            "telephone_number": "201-875-5699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 N Van Brunt St Ste 22",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "NJ",
            "postal_code": "07631",
            "country_code": "US",
            "telephone_number": "201-875-5699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERN",
        "first_name": "DEBORAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05353600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Slade Kearns, MD
• Jay Joel Kelinson, M.D.
• Kelly Dawn Kelly, LSW
• Kenneth Fried MD PA
• Richard Keohane, B.A.
• John F Kerns, MD
• Rafaella Keschner, LCSW
• Sevak Keshishyan, M.D.
• Key to Wellness Psychiatry
• Farhan Khan, MD

• All providers in Englewood, NJ
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.