Organization Active NPI

Elyse Guli Licensed Clinical Social Worker LLC

  • Clinical Social Worker
  • Wayne, NJ
National Provider Identifier
1619416724
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05550300 Issued in NJ
Legal business name
ELYSE GULI LICENSED CLINICAL SOCIAL WORKER LLC
Practice address
122 Baldwin Ter
Wayne, NJ 07470-3603
Phone
(201) 887-0139
NPI assigned
Feb 22, 2017
Last updated
Apr 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Elyse GuliNPI 1003528613
Title
Owner
Phone
(201) 887-0139

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05550300 NJ Primary

Addresses

Primary practice location

122 Baldwin Ter
Wayne, NJ 07470-3603

Mailing address

122 Baldwin Ter
Wayne, NJ 07470-3603
Phone (201) 887-0139

National Provider Directory

National Provider Directory

Locations

106 State Rt 23
Riverdale, NJ 07457
Phone (908) 605-0131

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1619416724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BALDWIN TER",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703603",
            "telephone_number": "201-887-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BALDWIN TER",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703603",
            "telephone_number": "201-887-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSE GULI LICENSED CLINICAL SOCIAL WORKER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "GULI",
        "authorized_official_first_name": "ELYSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-887-0139"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05550300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.