Individual provider Active NPI

Elise S Nerenberg, LCSW

  • Clinical Social Worker
  • Passaic, NJ
National Provider Identifier
1659311173
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05281300 Issued in NJ
Practice address
284 High St
Floor 2
Passaic, NJ 07055-3402
Phone
(862) 290-1700
NPI assigned
Jun 7, 2006
Last updated
Nov 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05281300 NJ Primary

Addresses

Primary practice location

284 High St
Floor 2
Passaic, NJ 07055-3402

Mailing address

131 Van Houten Ave
Floor 2
Passaic, NJ 07055-4601
Phone (862) 290-1700

Other names 1

  • Mrs. Elise S Nerenberg Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051221000156 NJ Practitioner - Clinical Social Worker 2769403138 Reassigns benefits to 1 organization
Practice locations: Livingston, NJ
I20240422000580 FL Practitioner - Clinical Social Worker 2769403138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05281300NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Mar 15, 2024 Accepting new patients
Grow Healthcare Group of New Jersey PC Clinical CurrentSince Nov 7, 2023 Accepting new patients
Sherman Counseling and Consulting, Inc. Clinical Past Accepting new patients
Generations Counseling & Care Management LLC PastSince Aug 17, 2006 Accepting new patients
Psycho Social Therapies,LTD Clinical Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1659311173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 VAN HOUTEN AVE",
            "address_2": "FLOOR 2",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554601",
            "telephone_number": "862-290-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 HIGH ST",
            "address_2": "FLOOR 2",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553402",
            "telephone_number": "862-290-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERENBERG",
        "first_name": "ELISE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05281300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISE",
            "last_name": "NERENBERG",
            "middle_name": "S",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Passaic, NJ

Sources for this page

Verify at the official NPI Registry.