Individual provider Active NPI

Bernard Ivin, L.C.S.W.

  • Clinical Social Worker
  • Mount Arlington, NJ
National Provider Identifier
1730115296
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC47213 Issued in NJ
Practice address
22 Howard Blvd
Suite 101
Mount Arlington, NJ 07856-1532
Phone
(973) 906-5265
Fax
(973) 983-8229
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 SC47213 NJ Primary

Addresses

Primary practice location

22 Howard Blvd
Suite 101
Mount Arlington, NJ 07856-1532

Mailing address

8 Sandpiper Dr
Hackettstown, NJ 07840-3033
Phone (973) 906-5265

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

LicenseStateTypeSpecialty
SC47213NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Family Programs Past Accepting new patients

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730115296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SANDPIPER DR",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078403033",
            "telephone_number": "973-906-5265",
            "fax_number": "973-983-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HOWARD BLVD",
            "address_2": "SUITE 101",
            "city": "MOUNT ARLINGTON",
            "state": "NJ",
            "postal_code": "078561532",
            "telephone_number": "973-906-5265",
            "fax_number": "973-983-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVIN",
        "first_name": "BERNARD",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC47213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Arlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.