Susan C Mintz, LCSW MA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R075187 Issued in NY

Practice address

160 Lincoln Street
Englewood, NJ 07631

Phone

(201) 916-6000

Fax

(201) 567-5221

NPI assigned

May 19, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Susan C Berger Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1760649792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 LINCOLN STREET",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-916-6000",
            "fax_number": "201-567-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 LINCOLN STREET",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-916-6000",
            "fax_number": "201-567-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTZ",
        "first_name": "SUSAN",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LCSW MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R075187",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL00874400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BERGER",
            "middle_name": "C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adina Miller, MD
• Jennifer Miller
• Cara Lynn Minichetti, D.D.S.
• John Carlo Minichetti, DMD
• Edward Lester Mintz, D.P.M.
• Annalisse Miqueli, PT, DPT
• Jeffrey Martin Mitchel, M.D.
• Bridgette V Mitchell, NP
• Jannine Juengst Mitchell, DO
• Lopa M Modi, MD

• Clinical Social Worker in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.