Active NPI
Patricia A Wippich, MSW LCSW
- Clinical Social Worker
- Paramus, NJ
National Provider Identifier
1790719979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC00187500
- Practice address
- 219 Denver Rd
Paramus, NJ 07652-3205 - Phone
- (201) 265-0589
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC00187500 | NJ | Primary |
Addresses
Primary practice location
219 Denver Rd
Paramus, NJ 07652-3205
Mailing address
219 Denver Rd
Paramus, NJ 07652-3205
Phone (201) 265-0589
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44768 | Other | UNITED BEHAVIORAL HEALTH | |
| P530 | Other | OXFORD HEALTHCARE | |
| 1271 | Other | NJ | ST BARNABAS HEALTHCARE |
| 1281 | Other | ST BARNABAS EAP | |
| 169288 | Other | MHN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC00187500 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790719979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 DENVER RD",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076523205",
"telephone_number": "201-265-0589",
"fax_number": "201-265-1989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 DENVER RD",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076523205",
"telephone_number": "201-265-0589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIPPICH",
"first_name": "PATRICIA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "MSW LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC00187500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "44768",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTHCARE",
"identifier": "P530",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ST BARNABAS HEALTHCARE",
"identifier": "1271",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ST BARNABAS EAP",
"identifier": "1281",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "169288",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.