Individual provider Active NPI

Johanna W Rosenfield, LCSW

  • Clinical Social Worker
  • Clifton, NJ
National Provider Identifier
1740645472
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05872600 Issued in NJ
Practice address
777 Bloomfield Ave
Clifton, NJ 07012-1242
Phone
(973) 594-0125
Fax
(973) 594-0536
NPI assigned
Dec 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 096465-1 NY
Clinical Social Worker 1041C0700X 44SC05872600 NJ Primary

Addresses

Primary practice location

777 Bloomfield Ave
Clifton, NJ 07012-1242

Mailing address

PO Box 43611
Montclair, NJ 07043-0611
Phone (973) 457-8502

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
I20190904001557 NJ Practitioner - Clinical Social Worker 5294064028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

209 Cooper Ave
Suite 5D
Montclair, NJ 07043-1850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
096465-1NYMDSocial Worker
44SC05872600NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Johannarosenfield LLC Clinical CurrentSince Dec 29, 2023 Accepting new patients

Locations

209 Cooper Ave
Ste 5D
Upper Montclair, NJ 07043
Phone (973) 261-8645

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": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1740645472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43611",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070430611",
            "telephone_number": "973-457-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BLOOMFIELD AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121242",
            "telephone_number": "973-594-0125",
            "fax_number": "973-594-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENFIELD",
        "first_name": "JOHANNA",
        "middle_name": "W",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-23",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "096465-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05872600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.