Individual provider Active NPI

Arlene V Anjos, LCSW

  • Clinical Social Worker
  • Roselle Park, NJ
National Provider Identifier
1639325335
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05485900 Issued in NJ
Practice address
173 E Grant Ave FL 2
Roselle Park, NJ 07204-2026
Phone
(908) 315-5947
NPI assigned
Aug 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 078673-1 NY
Clinical Social Worker 1041C0700X 44SL05545900 NJ
Clinical Social Worker 1041C0700X 44SC05485900 NJ Primary

Addresses

Primary practice location

173 E Grant Ave FL 2
Roselle Park, NJ 07204-2026

Mailing address

173 E Grant Ave FL 2
Roselle Park, NJ 07204-2026
Phone (908) 315-5947

Other practice location 1

614 Pennsylvania Ave
Elizabeth, NJ 07201-1265
Phone (908) 355-7859

Other practice location 2

118 Parsonage Rd
Edison, NJ 08837-2424
Phone (732) 321-6800

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
I20120305000012 NJ Practitioner - Clinical Social Worker 2062671456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Care Therapy LLCGroup PAC ID 0547335366, 140 clinicians

Practice addresses (Care Compare)

85 Crescent Ave
Passaic, NJ 07055-2437
Phone (973) 264-0023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05485900NJMDClinical Social Worker
44SL05545900NJMDClinical Social Worker
078673-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Senior Care Therapy LLC Clinical CurrentSince Apr 1, 2022 Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

Interoperability endpoints

  • Direct secure messaging: arleneanjos@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1639325335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 E GRANT AVE FL 2",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042026",
            "telephone_number": "908-315-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 E GRANT AVE FL 2",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042026",
            "telephone_number": "908-315-5947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "614 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072011265",
            "country_code": "US",
            "telephone_number": "908-355-7859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 Parsonage Rd",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088372424",
            "country_code": "US",
            "telephone_number": "732-321-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANJOS",
        "first_name": "ARLENE",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078673-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL05545900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05485900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle Park, NJ

Sources for this page

Verify at the official NPI Registry.