Active NPI
Daniel S Stern, LSW
- Social Worker
- Montclair, NJ
National Provider Identifier
1700605482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL07106200
- Practice address
- 209 Cooper Ave Ste 112
Montclair, NJ 07043-1883 - Phone
- (201) 719-5919
- NPI assigned
- Oct 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL07106200 | NJ | Primary |
Addresses
Primary practice location
209 Cooper Ave Ste 112
Montclair, NJ 07043-1883
Mailing address
182 Ashland Ave Apt A45
Bloomfield, NJ 07003-2436
Phone (908) 227-9623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL07106200 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1700605482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 ASHLAND AVE APT A45",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070032436",
"telephone_number": "908-227-9623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 COOPER AVE STE 112",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070431883",
"telephone_number": "201-719-5919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "DANIEL",
"middle_name": "S",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-09",
"last_updated": "2024-10-09",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL07106200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.