Individual provider Active NPI

Anne Marie Ramos, LCSW

  • Clinical Social Worker
  • Passaic, NJ
National Provider Identifier
1700897568
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00192100 Issued in NJ
Practice address
110 Main Ave
Passaic, NJ 07055-4427
Phone
(973) 777-7638
Fax
(973) 777-9311
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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 44SC00192100 NJ Primary

Addresses

Primary practice location

110 Main Ave
Passaic, NJ 07055-4427

Mailing address

4 Gordon Ter
Warwick, NY 10990-1709
Phone (845) 544-3704

Other identifiers 7

IdentifierTypeStateIssuer
072141OtherNJVALUE OPTION ID
7345074OtherNJGHI ID
145805 000OtherNJMAGELLAN ID
228639OtherNJMHN ID
0021784MedicaidNJ
P-478620OtherNJOXFORD ID
7143376OtherNJAETNA 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
I20160921000892 NJ Practitioner - Clinical Social Worker 5698062529 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC00192100NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service & Childrens Center of Clifton-Passaic, Inc Clinical CurrentSince Aug 23, 2016 Accepting new patients

Locations

925 Allwood Rd
Clifton, NJ 07012
Phone (973) 777-7638

110 Main Ave
Passaic, NJ 07055
Phone (973) 777-0256

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1700897568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GORDON TER",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901709",
            "telephone_number": "845-544-3704",
            "fax_number": "845-988-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554427",
            "telephone_number": "973-777-7638",
            "fax_number": "973-777-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "ANNE MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00192100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTION ID",
            "identifier": "072141",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI ID",
            "identifier": "7345074",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN ID",
            "identifier": "145805 000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN ID",
            "identifier": "228639",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021784",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID",
            "identifier": "P-478620",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "7143376",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

Verify at the official NPI Registry.