Individual provider Active NPI

Elizabeth Cleerdin, MSW, LCSW, RPT

  • Clinical Social Worker
  • Little Silver, NJ
National Provider Identifier
1740412527
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04678600 Issued in NJ
Practice address
518 Prospect Ave
2ND Floor
Little Silver, NJ 07739-1454
Phone
(732) 345-0200
Fax
(732) 345-7300
NPI assigned
Aug 13, 2009
Last updated
Aug 13, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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 44SC04678600 NJ Primary

Addresses

Primary practice location

518 Prospect Ave
2ND Floor
Little Silver, NJ 07739-1454

Mailing address

518 Prospect Ave
2ND Floor
Little Silver, NJ 07739-1454
Phone (732) 345-0200

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
44SC04678600NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1740412527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 PROSPECT AVE",
            "address_2": "2ND FLOOR",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391454",
            "telephone_number": "732-345-0200",
            "fax_number": "732-345-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 PROSPECT AVE",
            "address_2": "2ND FLOOR",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391454",
            "telephone_number": "732-345-0200",
            "fax_number": "732-345-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEERDIN",
        "first_name": "ELIZABETH",
        "credential": "MSW, LCSW, RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04678600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Silver, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; 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.