Individual provider Active NPI

Elisheva R. Klugmann

  • School Social Worker
  • Lakewood, NJ
National Provider Identifier
1780983791
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
44SL05647600 Issued in NJ
Practice address
506 Ridge CT
Lakewood, NJ 08701-1543
Phone
(732) 882-9683
NPI assigned
Mar 17, 2011
Last updated
Mar 17, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 44SL05647600 NJ Primary

Addresses

Primary practice location

506 Ridge CT
Lakewood, NJ 08701-1543

Mailing address

506 Ridge CT
Lakewood, NJ 08701-1543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SL05647600NJMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1780983791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 RIDGE CT",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 RIDGE CT",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011543",
            "telephone_number": "732-882-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUGMANN",
        "first_name": "ELISHEVA",
        "middle_name": "R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NJ",
            "license": "44SL05647600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.