Individual provider Active NPI

Linda O. Sofer, LCSW

  • Clinical Social Worker
  • Union City, NJ
National Provider Identifier
1770775744
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00520800 Issued in NJ
Practice address
4315 Park Ave
Unit 3K
Union City, NJ 07087-6565
Phone
(732) 266-0286
NPI assigned
Aug 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 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 44SC00520800 NJ Primary

Addresses

Primary practice location

4315 Park Ave
Unit 3K
Union City, NJ 07087-6565

Mailing address

4315 Park Ave
Unit 3K
Union City, NJ 07087-6565
Phone (732) 266-0286

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
I20190827002353 NJ Practitioner - Clinical Social Worker 2163481003 Practice locations: Jersey City, NJ; Teaneck, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

121 Cedar LN
Suite 2D
Teaneck, NJ 07666-4457
Phone (732) 266-0286

255 8TH St
Apt 2L
Jersey City, NJ 07302-2060
Phone (732) 266-0286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christa Durkin, LCSW, P.C. Clinical Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1770775744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 PARK AVE",
            "address_2": "UNIT 3K",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070876565",
            "telephone_number": "732-266-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 PARK AVE",
            "address_2": "UNIT 3K",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070876565",
            "telephone_number": "732-266-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOFER",
        "first_name": "LINDA",
        "middle_name": "O.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00520800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

Verify at the official NPI Registry.