Amy Eiten, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

65 N Maple Ave
Suite 220
Ridgewood, NJ 07450-3233

Phone

(201) 930-1340

Fax

(201) 930-1340

NPI assigned

Sep 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790885226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 ORANGEBURGH RD",
            "city": "RIVERVALE",
            "state": "NJ",
            "postal_code": "076756461",
            "telephone_number": "201-930-1340",
            "fax_number": "201-930-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N MAPLE AVE",
            "address_2": "SUITE 220",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503233",
            "telephone_number": "201-930-1340",
            "fax_number": "201-930-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EITEN",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Anne Earl, LCSW
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• Sarah L Edge, ATC
• Edward M. Solomon M.D.P.a.
• Elena Gerlikhman (dental design studio)
• Elena Slater, M.D., LLC
• Joseph Elfar, MD
• Elite Network Psychotherapy
• Melissa D Elliott, LCSW

• Clinical Social Worker in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Clinical Social Worker in New Jersey

• 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.

Verify at the official NPI Registry.