Individual provider Active NPI

Denise Pertuz, LCSW

  • Clinical Social Worker
  • Linden, NJ
National Provider Identifier
1730679937
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05804900 Issued in NJ
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

Updated by the provider on Jun 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14247 SC
Clinical Social Worker 1041C0700X 44SC05804900 NJ Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
44SL05864400NJMDSocial Worker
44SC05804900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aris Behavioral Health LLC Social Worker CurrentSince Jun 1, 2021 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.

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.

Verify at the official NPI Registry.