Individual provider Active NPI

Rochelle Lee Glatter, LCSW

  • Clinical Social Worker
  • Tenafly, NJ
National Provider Identifier
1609383025
Registry record updated Nov 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05736100 Issued in NJ
Practice address
120 County Rd Ste 209
Tenafly, NJ 07670-1854
Phone
(917) 549-4455
NPI assigned
Jan 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2020

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 44SC05736100 NJ Primary

Addresses

Primary practice location

120 County Rd Ste 209
Tenafly, NJ 07670-1854

Mailing address

312 Churchill Rd
Teaneck, NJ 07666-3007
Phone (201) 833-4041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05736100NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605398400000",
    "number": "1609383025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 CHURCHILL RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663007",
            "telephone_number": "201-833-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 COUNTY RD STE 209",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701854",
            "telephone_number": "917-549-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLATTER",
        "first_name": "ROCHELLE",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2020-11-15",
        "certification_date": "2020-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05736100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenafly, NJ

Sources for this page

Verify at the official NPI Registry.