Individual provider Active NPI

Emily Teitelbaum, LCSW

  • Clinical Social Worker
  • Cherry Hill, NJ
National Provider Identifier
1609493063
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06252900 Issued in NJ
Practice address
2230 Route 70 W Ste 2
Cherry Hill, NJ 08002-3338
Phone
(201) 321-9332
NPI assigned
Jul 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 095607-01 NY
Clinical Social Worker 1041C0700X 44SC06252900 NJ Primary

Addresses

Primary practice location

2230 Route 70 W Ste 2
Cherry Hill, NJ 08002-3338

Mailing address

2230 Route 70 W Ste 2
Cherry Hill, NJ 08002-3338
Phone (201) 321-9332

Other practice location 1

2381 Hylan Blvd Ste 13
Staten Island, NY 10306-3145
Phone (718) 494-2858

Other identifiers 3

IdentifierTypeStateIssuer
44SC06252900OtherNJSOCIAL WORK LICENSURE
095607-01OtherNYSOCIAL WORK LICENSURE
101-202OtherNYSOCIAL WORK LICENSURE

Other names 1

  • Emily Prawer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 6, 2024 through Nov 6, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC06252900NJMDClinical Social Worker
095607-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Social Work Services LLC Clinical CurrentSince Jul 1, 2020 Accepting new patients

Locations

2381 Hylan Blvd
Ste 13
Staten Island, NY 10306
Phone (718) 494-2858

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": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1609493063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 ROUTE 70 W STE 2",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023338",
            "telephone_number": "201-321-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 ROUTE 70 W STE 2",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023338",
            "telephone_number": "201-321-9332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2381 Hylan Blvd Ste 13",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103063145",
            "country_code": "US",
            "telephone_number": "718-494-2858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEITELBAUM",
        "first_name": "EMILY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095607-01",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06252900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSURE",
            "identifier": "44SC06252900",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSURE",
            "identifier": "095607-01",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSURE",
            "identifier": "101-202",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "PRAWER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.