Michelle Certosimo, LCSW
Individual provider Active NPI Clinical Social Worker · Ramsey, NJ
NPI 1720535511 · NPPES record last updated Nov 11, 2019
Key facts
- NPI
- 1720535511
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05853200 (NJ)
- Practice address
- 400D Lake St Ste 2
Ramsey, NJ 07446-1279 - Phone
- (201) 739-6489
- NPI assigned
- Sep 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05853200 | NJ | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05853200 | NJ | Yes |
Addresses
Primary practice location
400D Lake St Ste 2
Ramsey, NJ 07446-1279
Mailing address
130 S Mahwah Rd
Mahwah, NJ 07430-1859
Phone (201) 739-6489
Other providers in Ramsey, NJ
- Steven Paul Casamento
- Nicholas Caselli
- Alexandra Castro
- Romana Cavallaro
- Center for Pain and Regenerative Medicine, LLC
- Anita Chait
- Evan M Chait
- John Champion
- Alissa Ann Chatmajian
- Joseph S Checchi
All providers in Ramsey, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.