Individual provider Active NPI

Susan Breithaupt, LCSW

  • Clinical Social Worker
  • Hillsdale, NJ
National Provider Identifier
1720172935
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04596200 Issued in NJ
Practice address
98 Large Avenue
Hillsdale, NJ 07642
Phone
(201) 664-8916
Fax
(201) 664-1378
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 44SC04596200 NJ Primary

Addresses

Primary practice location

98 Large Avenue
Hillsdale, NJ 07642

Mailing address

98 Large Ave
Hillsdale, NJ 07642
Phone (201) 664-8916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC04596200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vicki Barnett Psy D PC CurrentSince Feb 24, 2024 Accepting new patients
Generations Counseling & Care Management LLC CurrentSince Jan 18, 2023 Accepting new patients
Sherman Counseling and Consulting, Inc. Clinical Past Accepting new patients
Pascack Mental Health Center PastSince Jun 23, 2015 Accepting new patients

Locations

525 Monmouth St
Jersey City, NJ 07302
Phone (201) 653-8800

336 W Passaic St
Ste 2
Rochelle Park, NJ 07662
Phone (201) 845-7030

336 W Passaic St
Ste 4
Rochelle Park, NJ 07662
Phone (201) 291-1010

Organizations & group practices 4

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720172935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 LARGE AVE",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "07642",
            "telephone_number": "201-664-8916",
            "fax_number": "201-664-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 LARGE AVENUE",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "07642",
            "telephone_number": "201-664-8916",
            "fax_number": "201-664-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITHAUPT",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04596200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, NJ

Sources for this page

Verify at the official NPI Registry.