Individual provider Active NPI

Karen Rosenfeld, LCSW

  • Clinical Social Worker
  • Fair Lawn, NJ
National Provider Identifier
1689686560
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05079000 Issued in NJ
Practice address
34-00 Linwood Rd
Fair Lawn, NJ 07410-4012
Phone
(201) 794-1771
Fax
(201) 256-4113
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 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 44SC05079000 NJ Primary

Addresses

Primary practice location

34-00 Linwood Rd
Fair Lawn, NJ 07410-4012

Mailing address

199 Scoles Ave
Clifton, NJ 07012-1125
Phone (973) 777-7638

Other identifiers 8

IdentifierTypeStateIssuer
0021784MedicaidNJ
293356 000OtherNJMAGELLAN ID
270264OtherNJMHN ID
7345076OtherNJGHI ID
7465388OtherNJAETNA ID
P-2457102OtherNJOXFORD ID
1135847OtherNJMULTI PLAN ID
437366OtherNJVALUE OPTION ID

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
I20050422000022 NJ Practitioner - Clinical Social Worker 4789622432 Practice locations: Fair Lawn, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

34 -00 Linwood Rd
Fair Lawn, NJ 07410-4012
Phone (201) 794-1771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05079000NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1689686560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 SCOLES AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121125",
            "telephone_number": "973-777-7638",
            "fax_number": "973-777-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34-00 LINWOOD RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104012",
            "telephone_number": "201-794-1771",
            "fax_number": "201-256-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENFELD",
        "first_name": "KAREN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05079000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021784",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN ID",
            "identifier": "293356 000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN ID",
            "identifier": "270264",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI ID",
            "identifier": "7345076",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "7465388",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID",
            "identifier": "P-2457102",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTI PLAN ID",
            "identifier": "1135847",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTION ID",
            "identifier": "437366",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.