Individual provider Active NPI

Sara Erlich Penchuk, LCSW

  • Clinical Social Worker
  • Englewood, NJ
National Provider Identifier
1679753255
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC001816000 Issued in NJ
Practice address
75 Sterling Blvd Apt 302
Englewood, NJ 07631-4839
Phone
(201) 833-9434
NPI assigned
Nov 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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 44SC001816000 NJ Primary

Addresses

Primary practice location

75 Sterling Blvd Apt 302
Englewood, NJ 07631-4839

Mailing address

75 Sterling Blvd Apt 302
Englewood, NJ 07631-4839
Phone (201) 833-9434

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
I20050412000443 NJ Practitioner - Clinical Social Worker 1658318670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

75 Sterling Blvd
Apt 302
Englewood, NJ 07631-4839
Phone (201) 833-9434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC001816000NJMDClinical Social Worker

Organizations & group practices 1

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": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1679753255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 STERLING BLVD APT 302",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314839",
            "telephone_number": "201-833-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 STERLING BLVD APT 302",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314839",
            "telephone_number": "201-833-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERLICH PENCHUK",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC001816000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.