Individual provider Active NPI

Philip Herbert, LCSW

  • Clinical Social Worker
  • Wayne, NJ
National Provider Identifier
1760498984
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01287800 Issued in NJ
Practice address
11 Colburn CT
Wayne, NJ 07470-8211
Phone
(973) 696-5668
Fax
(973) 305-8078
NPI assigned
Jul 31, 2006
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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 44SC01287800 NJ Primary

Addresses

Primary practice location

11 Colburn CT
Wayne, NJ 07470-8211

Mailing address

11 Colburn CT
Wayne, NJ 07470-8211
Phone (973) 696-5668

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
I20050223000101 NJ Practitioner - Clinical Social Worker 6800849548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2175 Hudson
Fort Lee, NJ 07024

Riverview Towers 2175 Hudson Ter
Apt 9G
Fort Lee, NJ 07024-7719

Riverview Towers 2175 Hudson Terrace
Apt 9G
Fort Lee, NJ 07024-7719
Phone (646) 546-0721

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Herbert Counseling and Psychotherapy LLC Clinical CurrentSince Jun 28, 2004 Accepting new patients

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, 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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1760498984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 COLBURN CT",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708211",
            "telephone_number": "973-696-5668",
            "fax_number": "973-305-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 COLBURN CT",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708211",
            "telephone_number": "973-696-5668",
            "fax_number": "973-305-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "PHILIP",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01287800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.