Anne Linda Harutunian, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Dumont, NJ
NPI 1649216433 · NPPES record last updated Mar 3, 2016
Key facts
- NPI
- 1649216433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05502500 (NJ)
- Practice address
- 2 Park Ave
Dumont, NJ 07628-3004 - Phone
- (201) 385-4400
- NPI assigned
- Jun 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
211 Godwin Ave
Apt B
Wyckoff, NJ 07481-2019
Phone (551) 427-0921
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180719000131 | NJ | Practitioner - Clinical Social Worker | 0547517740 | Practice locations: Wyckoff, NJ |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centra Medical Group, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05502500 | NJ | Yes |
Addresses
Primary practice location
2 Park Ave
Dumont, NJ 07628-3004
Mailing address
45 Malcolm St
Waldwick, NJ 07463-2414
Phone (201) 445-4464
Other providers in Dumont, NJ
- Maria Pia M Guinto
- Elizabeth Hanna
- Frances D Hanna
- Melissa Hanna
- Sharbel John Hanna
- Ewelina Hauck
- Michelle Herasme
- Esther Sima Hoffman
- Israa Hussein
- Stephen Ip
All providers in Dumont, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.