Active NPI
Denise Pertuz, LCSW
- Clinical Social Worker
- Linden, NJ
National Provider Identifier
1730679937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05804900
- Practice address
- 651 N Stiles St # 174
Linden, NJ 07036-5759 - Phone
- (201) 923-6256
- NPI assigned
- May 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14247 | SC | |
| Clinical Social Worker | 1041C0700X | 44SC05804900 | NJ | Primary |
| Social Worker | 104100000X | 44SL05864400 | NJ |
Addresses
Primary practice location
651 N Stiles St # 174
Linden, NJ 07036-5759
Mailing address
651 N Stiles St Ste 174
Linden, NJ 07036-5759
Other practice location 1
1500 Saint Georges Ave
Avenel, NJ 07001-1000
Phone (856) 772-5809 ext. 401
Other practice location 2
929 Dennis Pl
Linden, NJ 07036-1320
Phone (201) 923-6256
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL05864400 | NJ | MD | Social Worker |
| 44SC05804900 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aris Behavioral Health LLC | Social Worker | Current | Accepting new patients |
| Total Family Solutions, LLC | Past | Accepting new patients |
Locations
651 N Stiles St
Linden, NJ 07036
Phone (908) 486-4371
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Linden, NJ
- NPI 1407422793
-
- Adolescent and Children Mental Health Clinic/Center
- Avenel, NJ
- NPI 1740691443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1730679937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 N STILES ST STE 174",
"city": "LINDEN",
"state": "NJ",
"postal_code": "070365759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 N STILES ST # 174",
"city": "LINDEN",
"state": "NJ",
"postal_code": "070365759",
"telephone_number": "201-923-6256"
}
],
"practiceLocations": [
{
"address_1": "1500 Saint Georges Ave",
"address_purpose": "LOCATION",
"city": "Avenel",
"state": "NJ",
"postal_code": "070011000",
"country_code": "US",
"telephone_number": "856-772-5809 x401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "929 Dennis Pl",
"address_purpose": "LOCATION",
"city": "Linden",
"state": "NJ",
"postal_code": "070361320",
"country_code": "US",
"telephone_number": "201-923-6256",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERTUZ",
"first_name": "DENISE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-14",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "14247",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05804900",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL05864400",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Linden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.