Individual provider Active NPI

Stephanie J Kahn, LCSW

  • Clinical Social Worker
  • Montclair, NJ
National Provider Identifier
1750468369
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05221800 Issued in NJ
Practice address
1 Bay Ave
Attention - Grace Ann Remolino
Montclair, NJ 07042-4837
Phone
(973) 429-6228
Fax
(973) 680-7715
NPI assigned
Nov 1, 2006
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 44SC05221800 NJ Primary

Addresses

Primary practice location

1 Bay Ave
Attention - Grace Ann Remolino
Montclair, NJ 07042-4837

Mailing address

1 Bay Ave
Attention - Grace Ann Remolino
Montclair, NJ 07042-4837
Phone (973) 429-6228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040929000369 NJ Practitioner - Clinical Social Worker 5294704938 Reassigns benefits to 1 organization
Practice locations: Verona, NJ
I20151113001629 NY Practitioner - Clinical Social Worker 5294704938 Practice locations: Garden City, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

155 Pompton
Suite 5
Verona, NJ 07044-2942
Phone (973) 985-6876

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05221800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Montclair Hospital LLC CurrentSince Nov 1, 2009 Accepting new patients
Montclair Hospital LLC CurrentSince Nov 1, 2009 Accepting new patients
Blanton-Peale Institute Past Accepting new patients
Blanton-Peale Institute Past Accepting new patients

Locations

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

Organizations & group practices 4

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750468369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BAY AVE",
            "address_2": "ATTENTION - GRACE ANN REMOLINO",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424837",
            "telephone_number": "973-429-6228",
            "fax_number": "973-680-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAY AVE",
            "address_2": "ATTENTION - GRACE ANN REMOLINO",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424837",
            "telephone_number": "973-429-6228",
            "fax_number": "973-680-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "STEPHANIE",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05221800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.