Individual provider Active NPI

Susan L. Oliff, LCSW

  • Clinical Social Worker
  • River Edge, NJ
National Provider Identifier
1770035867
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05847900 Issued in NJ
Practice address
1060 Main St Ste 303
River Edge, NJ 07661-2592
Phone
(201) 960-8420
NPI assigned
Oct 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2019

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 44SC05847900 NJ Primary

Addresses

Primary practice location

1060 Main St Ste 303
River Edge, NJ 07661-2592

Mailing address

1060 Main St Ste 303
River Edge, NJ 07661-2592
Phone (201) 960-8420

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
I20190725002559 NJ Practitioner - Clinical Social Worker 1951637164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

297 Kinderkamack Rd
Suite 212
Oradell, NJ 07649-1535
Phone (201) 960-8420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05847900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Oliff Psychotherapy LLC Clinical CurrentSince Apr 1, 2020 Accepting new patients

Locations

297 Kinderkamack Rd
Ste 212
Oradell, NJ 07649
Phone (201) 212-4999

Organizations & group practices 2

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": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1770035867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 MAIN ST STE 303",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612592",
            "telephone_number": "201-960-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 MAIN ST STE 303",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612592",
            "telephone_number": "201-960-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIFF",
        "first_name": "SUSAN",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05847900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Edge, NJ

Sources for this page

Verify at the official NPI Registry.