Individual provider Active NPI

Susan J Menahem, LCSW

  • Clinical Social Worker
  • Highland Park, NJ
National Provider Identifier
1730212200
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05260700 Issued in NJ
Practice address
8 S 3Rd Ave
Highland Park, NJ 08904-2510
Phone
(732) 246-8439
NPI assigned
Mar 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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 44SC05260700 NJ Primary

Addresses

Primary practice location

8 S 3Rd Ave
Highland Park, NJ 08904-2510

Mailing address

1302 Bridge St
Asbury Park, NJ 07712-4901
Phone (732) 897-1529

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
I20260121004313 NJ Practitioner - Clinical Social Worker 4880904010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Susan Menahem Psychotherapy Service, PAGroup PAC ID 1557803889, 7 clinicians

Practice addresses (Care Compare)

1119 Raritan Ave
Highland Park, NJ 08904-3669
Phone (732) 246-8439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05260700NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Menahem Psychotherapy Service, PA Clinical CurrentSince Apr 15, 2024 Accepting new patients
Institute for Personal Growth Clinical Past Accepting new patients
Institute for Personal Growth Past Accepting new patients

Locations

1119 Raritan Ave
Highland Park, NJ 08904
Phone (732) 246-8439

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730212200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 BRIDGE ST",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077124901",
            "telephone_number": "732-897-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 S 3RD AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042510",
            "telephone_number": "732-246-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENAHEM",
        "first_name": "SUSAN",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05260700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, NJ

Sources for this page

Verify at the official NPI Registry.