Julissa Milkamp, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06019200 Issued in NJ

Practice address

114 Kinderkamack Rd
Park Ridge, NJ 07656-2126

Phone

(201) 391-1355

NPI assigned

Apr 18, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pascack Mental Health Center

  • Mental Health Counselor
  • Park Ridge, NJ
  • NPI 1154526440
  NPD

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1659014553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MANDON TER",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075063206",
            "telephone_number": "201-681-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 KINDERKAMACK RD",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076562126",
            "telephone_number": "201-391-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILKAMP",
        "first_name": "JULISSA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06019200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE NEW JERSEY BOARD OF SOCIAL WORK EXAMINERS",
            "identifier": "44SL06019200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul C Mendelowitz, MD
• Laurel Marie Mengarelli, RN, CRNFA
• Regina Mezheritsky, LCSW
• Michael D. Weinthal D.P.M.
• Erin Elizabeth Mickelwaite, LSW
• Melissa Morgan, OTR
• Tara Nelsen-Defalco
• New Concepts for Living
• Andrew O'Neill, D.C.
• Charles Wold Olsen Jr., D.M.D.

• Social Worker in Park Ridge, NJ
• Providers in Park Ridge, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.