Susan Mendelson, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SUSAN MENDELSON, LCSW, LLC

Practice address

1812 Front St
Scotch Plains, NJ 07076-1103

Phone

(908) 301-0900

NPI assigned

Jul 2, 2019

Organization subpart

No

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

Authorized official

Name

Susan Mendelson, LCSW

Title

Owner

Phone

(908) 301-0900

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1780246546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 FRONT ST APT 5003",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761103",
            "telephone_number": "908-301-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 FRONT ST",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761103",
            "telephone_number": "908-301-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN MENDELSON, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "MENDELSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-301-0900",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "susan.e.mendelson@gmail.com",
            "affiliation": "N",
            "address_1": "1812 Front St",
            "city": "Scotch Plains",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070761103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in Scotch Plains, NJ
• Providers in Scotch Plains, NJ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.