Individual provider Active NPI

Elisabeth La Forgia, LSW

  • Social Worker
  • Ramsey, NJ
National Provider Identifier
1669734125
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL05564400 Issued in NJ
Practice address
1 Cherry LN
Ramsey, NJ 07446-1848
Phone
(201) 934-1160
NPI assigned
Jun 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL05564400 NJ Primary

Addresses

Primary practice location

1 Cherry LN
Ramsey, NJ 07446-1848

Mailing address

1 Cherry LN
Ramsey, NJ 07446-1848
Phone (201) 934-1160

Other names 1

  • Elisabeth Bernstein Former name

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
I20150122000259 NJ Practitioner - Clinical Social Worker 0345564316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Bergen Mental Healthcare Inc.Group PAC ID 0345131272, 25 clinicians

Practice addresses (Care Compare)

1 Cherry LN
Ramsey, NJ 07446-1848
Phone (201) 444-3550

120 Chestnut St
Ridgewood, NJ 07450-2504
Phone (201) 444-3550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05564400NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
West Bergen Mental Healthcare, Inc. CurrentSince Nov 1, 2014 Accepting new patients
Elisabeth la Forgia LCSW Current Accepting new patients

Locations

1 Cherry Ln
Ramsey, NJ 07446
Phone (201) 444-3550

120 Chestnut St
Ridgewood, NJ 07450
Phone (201) 444-3550

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, 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": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1669734125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHERRY LN",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461848",
            "telephone_number": "201-934-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHERRY LN",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461848",
            "telephone_number": "201-934-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA FORGIA",
        "first_name": "ELISABETH",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05564400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISABETH",
            "last_name": "BERNSTEIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ramsey, NJ

Sources for this page

Verify at the official NPI Registry.